JENNELL MAIRE MUNDORF Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014188

License Status

NOT RENEWED

Business

First Name

JENNELL

Middle

MAIRE

Last Name

MUNDORF

Business Name

JENNELL MAIRE MUNDORF

Original Issue Date

05/14/2021

Effective Date

05/14/2021

Expiration Date

01/31/2022

City

VENICE

State

Zip

90291

Ever Disciplined

LastModifiedDate

05/18/2022