STEPHEN H CROCKFORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005030

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

CROCKFORD

Business Name

STEPHEN H CROCKFORD

Original Issue Date

10/28/1998

Effective Date

01/18/2011

Expiration Date

12/31/2011

City

CHANDLER

State

Zip

85286

Ever Disciplined

LastModifiedDate

02/08/2012