DAVID A MARTIN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001370

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

MARTIN

Business Name

DAVID A MARTIN

Original Issue Date

09/11/1996

Effective Date

02/03/2004

Expiration Date

12/31/2003

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

09/11/2005