LARRY ALAN JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003070

License Status

NOT RENEWED

Business

First Name

LARRY ALAN

Last Name

JOHNSON

Business Name

LARRY ALAN JOHNSON

Original Issue Date

03/10/1993

Expiration Date

12/31/1995

City

BISMARCK

State

Zip

61814

County

VERMILION

Ever Disciplined

LastModifiedDate

07/28/2005