CARROLL C FORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003307

License Status

NOT RENEWED

Business

First Name

CARROLL C

Last Name

FORD

Business Name

CARROLL C FORD

Original Issue Date

02/25/1994

Effective Date

12/24/2021

Expiration Date

12/31/2023

City

SPRINGFIELD

State

Zip

62704

County

NEVADA

Ever Disciplined

LastModifiedDate

03/28/2024