SHELBY CHRISTINE CLUBB Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011356

License Status

INACTIVE

Business

First Name

SHELBY

Middle

CHRISTINE

Last Name

CLUBB

Business Name

SHELBY CHRISTINE CLUBB

Original Issue Date

01/25/2016

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

MACON

State

Zip

31210

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/02/2019