MICHELLE JEANINE LAFORME Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013367

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

JEANINE

Last Name

LAFORME

Business Name

MICHELLE JEANINE LAFORME

Original Issue Date

11/06/2019

Effective Date

11/16/2021

Expiration Date

12/31/2023

City

ESTERO

State

Zip

33967

Ever Disciplined

LastModifiedDate

03/28/2024