SHANNON ELIZABETH FOGARTY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009861

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

ELIZABETH

Last Name

FOGARTY

Business Name

SHANNON ELIZABETH FOGARTY

Original Issue Date

09/06/2012

Effective Date

09/06/2012

Expiration Date

12/31/2013

City

NORTH HOLLYWOOD

State

Zip

91601

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

02/19/2014