RAPHAELE J LATAILLADE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008376

License Status

NOT RENEWED

Business

First Name

RAPHAELE

Middle

Last Name

LATAILLADE

Business Name

RAPHAELE J LATAILLADE

Original Issue Date

06/20/2008

Effective Date

11/23/2009

Expiration Date

12/31/2011

City

BOCA RATON

State

Zip

33486

County

FLORIDA

Ever Disciplined

LastModifiedDate

02/08/2012