IRVING BALLENA ROSAUPAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007816

License Status

ACTIVE

Business

First Name

IRVING

Middle

BALLENA

Last Name

ROSAUPAN

Business Name

IRVING BALLENA ROSAUPAN

Original Issue Date

07/10/2006

Effective Date

12/21/2023

Expiration Date

12/31/2025

City

MIAMI

State

Zip

33136

Ever Disciplined

LastModifiedDate

10/02/2025