EDEN R NULLAR Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002423

License Status

NOT RENEWED

Business

First Name

EDEN

Middle

Last Name

NULLAR

Business Name

EDEN R NULLAR

Original Issue Date

06/02/2003

Effective Date

03/16/2004

Expiration Date

12/31/2005

City

LAKESIDE

State

Zip

92040

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

02/16/2006