SAMANTHA NICOLE MENDOZA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015222

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

NICOLE

Last Name

MENDOZA

Business Name

SAMANTHA NICOLE MENDOZA

Original Issue Date

11/16/2022

Effective Date

11/16/2022

Expiration Date

12/31/2023

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

03/28/2024