ROBIN J MITAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005774

License Status

INACTIVE

Business

First Name

ROBIN

Middle

Last Name

MITAN

Business Name

ROBIN J MITAN

Original Issue Date

05/18/2000

Effective Date

12/03/2019

Expiration Date

01/31/2022

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

01/06/2022