ELIZABETH GANNON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014832

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

GANNON

Business Name

ELIZABETH GANNON

Original Issue Date

03/22/2022

Effective Date

03/22/2022

Expiration Date

12/31/2023

City

COLUMBIA

State

Zip

62236

Ever Disciplined

LastModifiedDate

03/28/2024