VUYELWA L JACK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004290

License Status

NOT RENEWED

Business

First Name

VUYELWA L

Last Name

JACK

Business Name

VUYELWA L JACK

Original Issue Date

10/22/1996

Expiration Date

12/31/1999

City

MADEIRA BEACH

State

Zip

33708

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/28/2005