LORENA MARIE LEEDS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001726

License Status

NOT RENEWED

Business

First Name

LORENA

Middle

MARIE

Last Name

LEEDS

Business Name

LORENA MARIE LEEDS

Original Issue Date

07/06/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

FULLERTON

State

Zip

92833

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/28/2005