TED SANTIAGO PASCO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012806

License Status

NOT RENEWED

Business

First Name

TED

Middle

SANTIAGO

Last Name

PASCO

Business Name

TED SANTIAGO PASCO

Original Issue Date

12/14/2018

Effective Date

11/18/2019

Expiration Date

01/31/2022

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

05/18/2022