TALISSA SHAULL - Occupational Therapist License in Washington | # 057004099

TALISSA SHAULL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004099

License Status

NOT RENEWED

Business

N

First Name

TALISSA

Last Name

SHAULL

Business Name

TALISSA SHAULL

Original Issue Date

08/07/2014

Effective Date

12/28/2017

Expiration Date

12/31/2019

State

WA

Ever Disciplined

N

LastModifiedDate

03/05/2020