RONALD EDWIN MARTIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006953

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

EDWIN

Last Name

MARTIN

Business Name

RONALD EDWIN MARTIN

Original Issue Date

08/21/2003

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

02/15/2008