GRISHMA KIRAN GALA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011195

License Status

NOT RENEWED

Business

First Name

GRISHMA

Middle

KIRAN

Last Name

GALA

Business Name

GRISHMA KIRAN GALA

Original Issue Date

09/16/2015

Effective Date

11/07/2017

Expiration Date

12/31/2019

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/05/2020