ANTHONY W FAIN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001181

License Status

INACTIVE

Business

First Name

ANTHONY W

Last Name

FAIN

Business Name

ANTHONY W FAIN

Original Issue Date

09/11/1995

Effective Date

05/25/2004

Expiration Date

12/31/2005

City

MIAMI

State

Zip

33173

Ever Disciplined

LastModifiedDate

10/25/2005