REBECCA LYNN BROCK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009048

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

LYNN

Last Name

BROCK

Business Name

REBECCA LYNN BROCK

Original Issue Date

05/28/2010

Effective Date

12/13/2013

Expiration Date

12/31/2015

City

MILTON

State

Zip

30004

County

GEORGIA

Ever Disciplined

LastModifiedDate

02/08/2016