TRAVIS M VAN DORN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004069

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

VAN DORN

Business Name

TRAVIS M VAN DORN

Original Issue Date

05/28/1996

Effective Date

10/18/2013

Expiration Date

12/31/2015

City

GREENVILLE

State

Zip

62246

County

BOND

Ever Disciplined

LastModifiedDate

08/26/2025