SAMANTHA RUSSELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014695

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

RUSSELL

Business Name

SAMANTHA RUSSELL

Original Issue Date

01/21/2022

Effective Date

01/21/2022

Expiration Date

12/31/2023

City

SAINT AUGUSTINE

State

Zip

32095

Ever Disciplined

LastModifiedDate

03/28/2024