DAPHNE MICHELLE FOWLER - Occupational Therapist License in New York | # 057001831

DAPHNE MICHELLE FOWLER

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001831

License Status

INACTIVE

Business

N

First Name

DAPHNE

Middle

MICHELLE

Last Name

FOWLER

Business Name

DAPHNE MICHELLE FOWLER

Original Issue Date

02/26/1999

Effective Date

11/29/1999

Expiration Date

12/31/1999

State

NY

Ever Disciplined

N

LastModifiedDate

07/28/2005