SUSAN J BANJAVCIC Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001097

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

BANJAVCIC

Business Name

SUSAN J BANJAVCIC

Original Issue Date

03/10/1995

Effective Date

11/10/2015

Expiration Date

12/31/2017

City

DEWEY

State

Zip

86327

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/10/2018