ALEXIS MARIE AMENDOLA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013390

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

MARIE

Last Name

AMENDOLA

Business Name

ALEXIS MARIE AMENDOLA

Original Issue Date

12/04/2019

Effective Date

12/08/2021

Expiration Date

12/31/2023

City

NORTH HAVEN

State

Zip

06473

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

03/28/2024