BLAKE W ERBAN OT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013705

License Status

NOT RENEWED

Business

Title

First Name

BLAKE

Middle

Last Name

ERBAN

Business Name

BLAKE W ERBAN OT

Original Issue Date

07/10/2020

Effective Date

07/10/2020

Expiration Date

01/31/2022

City

COVINA

State

Zip

91724

Ever Disciplined

LastModifiedDate

05/18/2022