CATHERINE LEE CLARK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011126

License Status

INACTIVE

Business

First Name

CATHERINE

Middle

LEE

Last Name

CLARK

Business Name

CATHERINE LEE CLARK

Original Issue Date

08/19/2015

Effective Date

11/10/2015

Expiration Date

12/31/2017

City

FAYETTEVILLE

State

Zip

30215

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/06/2017