LAURIN E MANNING DERRICK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007201

License Status

NOT RENEWED

Business

First Name

LAURIN

Middle

Last Name

MANNING DERRICK

Business Name

LAURIN E MANNING DERRICK

Original Issue Date

06/14/2004

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

MYSTIC

State

Zip

06355

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

02/04/2010