DWANE S R GURUNG Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006643

License Status

INACTIVE

Business

First Name

DWANE

Middle

S R

Last Name

GURUNG

Business Name

DWANE S R GURUNG

Original Issue Date

08/30/2002

Effective Date

01/26/2004

Expiration Date

12/31/2003

City

LOS ANGELES

State

Zip

90007

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/11/2005