SHIRLEY I ENNS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004535

License Status

INACTIVE

Business

First Name

SHIRLEY I

Last Name

ENNS

Business Name

SHIRLEY I ENNS

Original Issue Date

08/25/1997

Effective Date

02/20/2004

Expiration Date

12/31/2003

City

SAN JOSE

State

Zip

95125

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/11/2005