SUSAN C MILAM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000312

License Status

NOT RENEWED

Business

First Name

SUSAN C

Last Name

MILAM

Business Name

SUSAN C MILAM

Original Issue Date

06/11/1984

Effective Date

11/08/2017

Expiration Date

12/31/2019

City

ALHAMBRA

State

Zip

62001

County

MADISON

Ever Disciplined

LastModifiedDate

03/05/2020