BHAVNA SHUKLA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007791

License Status

NOT RENEWED

Business

First Name

BHAVNA

Last Name

SHUKLA

Business Name

BHAVNA SHUKLA

Original Issue Date

06/06/2006

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

RANCHO CUCAMONGA

State

Zip

91737

Ever Disciplined

LastModifiedDate

02/04/2010