SUJEET NEVILLE BONIFACE GAONKAR Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005418

License Status

INACTIVE

Business

First Name

SUJEET NEVILLE

Middle

BONIFACE

Last Name

GAONKAR

Business Name

SUJEET NEVILLE BONIFACE GAONKAR

Original Issue Date

05/26/1999

Effective Date

11/17/1999

Expiration Date

12/31/1999

City

JONESBORO

State

Zip

30236

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/28/2005