AMY CAROL PETERSON - Occupational Therapist License in Virginia | # 056005103

AMY CAROL PETERSON

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005103

License Status

INACTIVE

Business

N

First Name

AMY

Middle

CAROL

Last Name

PETERSON

Business Name

AMY CAROL PETERSON

Original Issue Date

11/12/1998

Effective Date

12/22/1999

Expiration Date

12/31/1999

State

VA

Ever Disciplined

N

LastModifiedDate

07/28/2005