PATRICE ANN MOORE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004041

License Status

NOT RENEWED

Business

First Name

PATRICE ANN

Last Name

MOORE

Business Name

PATRICE ANN MOORE

Original Issue Date

04/16/1996

Expiration Date

12/31/1997

City

KETCHIKEN

State

Zip

99901

County

ALASKA

Ever Disciplined

LastModifiedDate

07/28/2005