IVY JOAN MEDOW Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001204

License Status

NOT RENEWED

Business

First Name

IVY JOAN

Last Name

MEDOW

Business Name

IVY JOAN MEDOW

Original Issue Date

10/07/1995

Effective Date

12/07/2011

Expiration Date

12/31/2013

City

PHOENIX

State

Zip

85006

County

ARIZONA

Ever Disciplined

LastModifiedDate

02/19/2014