DAVID MICHAEL ORTH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004987

License Status

NOT RENEWED

Business

First Name

DAVID MICHAEL

Last Name

ORTH

Business Name

DAVID MICHAEL ORTH

Original Issue Date

09/09/1998

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

02/04/2010