XYNDI THERESE DE LA CRUZ PLACER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010156

License Status

INACTIVE

Business

First Name

XYNDI THERESE

Middle

DE LA CRUZ

Last Name

PLACER

Business Name

XYNDI THERESE DE LA CRUZ PLACER

Original Issue Date

05/02/2013

Effective Date

05/02/2013

Expiration Date

12/31/2013

City

LILBURN

State

Zip

30047

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/04/2013