MARY K RUSSO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003835

License Status

NOT RENEWED

Business

First Name

MARY K

Last Name

RUSSO

Business Name

MARY K RUSSO

Original Issue Date

09/20/1995

Effective Date

12/31/2015

Expiration Date

12/31/2017

City

COLORADO SPRINGS

State

Zip

80908

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2018