PRIYANKA PRAKASH PANDIT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012067

License Status

NOT RENEWED

Business

First Name

PRIYANKA

Middle

PRAKASH

Last Name

PANDIT

Business Name

PRIYANKA PRAKASH PANDIT

Original Issue Date

08/15/2017

Effective Date

12/20/2017

Expiration Date

12/31/2019

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/05/2020