PHILIP MICHAEL MCINTOSH - Occupational Therapist License in Tennessee | # 057002607

PHILIP MICHAEL MCINTOSH

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002607

License Status

NOT RENEWED

Business

N

First Name

PHILIP

Middle

MICHAEL

Last Name

MCINTOSH

Business Name

PHILIP MICHAEL MCINTOSH

Original Issue Date

07/05/2005

Effective Date

12/19/2019

Expiration Date

01/31/2022

State

TN

Ever Disciplined

N

LastModifiedDate

05/18/2022