MARIA HERSHEY MARTINEZ BERGONIO-ALIPALA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005251

License Status

INACTIVE

Business

First Name

MARIA HERSHEY

Middle

MARTINEZ

Last Name

BERGONIO-ALIPALA

Business Name

MARIA HERSHEY MARTINEZ BERGONIO-ALIPALA

Original Issue Date

01/28/1999

Effective Date

11/27/2001

Expiration Date

12/31/2001

City

LAKELAND

State

Zip

33801

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/11/2005