MARY THERESA MILLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003948

License Status

NOT RENEWED

Business

First Name

MARY THERESA

Last Name

MILLER

Business Name

MARY THERESA MILLER

Original Issue Date

03/07/1996

Effective Date

11/02/2017

Expiration Date

12/31/2019

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/05/2020