TARA RAE WYNINGS - Occupational Therapist License in Pennsylvania | # 056007221

TARA RAE WYNINGS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007221

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

RAE

Last Name

WYNINGS

Business Name

TARA RAE WYNINGS

Original Issue Date

06/25/2004

Effective Date

06/25/2004

Expiration Date

12/31/2005

State

PA

Ever Disciplined

N

LastModifiedDate

02/16/2006