THERESA M BUSH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001055

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

BUSH

Business Name

THERESA M BUSH

Original Issue Date

08/08/1984

Expiration Date

12/31/1987

City

KETCHIKAN

State

Zip

99901

County

ALASKA

Ever Disciplined

LastModifiedDate

07/28/2005

Case Number

1991003719

Action

Refuse To Renew

Discipline Start Date

08/22/1991

Discipline End Date

09/17/2001

Discipline Reason

Failed to rectify a non-bankable remittance submitted to the Department.