CHRISTINE PENTERSON FAZZINO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005109

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

PENTERSON

Last Name

FAZZINO

Business Name

CHRISTINE PENTERSON FAZZINO

Original Issue Date

02/01/2019

Effective Date

01/04/2022

Expiration Date

12/31/2023

City

SAFETY HARBOR

State

Zip

34695

Ever Disciplined

LastModifiedDate

03/28/2024