TIFFANY C MATTINGLY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004384

License Status

NOT RENEWED

Business

First Name

TIFFANY C

Last Name

MATTINGLY

Business Name

TIFFANY C MATTINGLY

Original Issue Date

05/03/1997

Expiration Date

12/31/1999

City

CREST HILL

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

07/28/2005