ETHELBERT M MENCHAVEZ - Occupational Therapist License in Nebraska | # 056007799

ETHELBERT M MENCHAVEZ

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007799

License Status

NOT RENEWED

Business

N

First Name

ETHELBERT

Middle

M

Last Name

MENCHAVEZ

Business Name

ETHELBERT M MENCHAVEZ

Original Issue Date

06/15/2006

Effective Date

11/12/2015

Expiration Date

12/31/2017

State

NE

Ever Disciplined

N

LastModifiedDate

04/10/2018