THERESA M FAIRBANKS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000739

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

FAIRBANKS

Business Name

THERESA M FAIRBANKS

Original Issue Date

03/09/1991

Effective Date

07/12/2016

Expiration Date

12/31/2017

City

ST AUGUSTINE

State

Zip

32092

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/10/2018