MARY E SELBY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013177

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

SELBY

Business Name

MARY E SELBY

Original Issue Date

08/27/2019

Effective Date

12/02/2019

Expiration Date

12/31/2021

City

PHOENIX

State

Zip

85014

Ever Disciplined

LastModifiedDate

11/19/2021