LAURICE D REPKE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003850

License Status

INACTIVE

Business

First Name

LAURICE D

Last Name

REPKE

Business Name

LAURICE D REPKE

Original Issue Date

09/20/1995

Expiration Date

12/31/1997

City

GAINESVILLE

State

Zip

30501

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/28/2005