MARILYN THERESE FAIRBANKS - Occupational Therapist License in Nevada | # 057001455

MARILYN THERESE FAIRBANKS

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001455

License Status

INACTIVE

Business

N

First Name

MARILYN THERESE

Last Name

FAIRBANKS

Business Name

MARILYN THERESE FAIRBANKS

Original Issue Date

05/03/1997

Effective Date

02/03/2004

Expiration Date

12/31/2003

State

NV

Ever Disciplined

N

LastModifiedDate

09/11/2005