ROBERT B HERZOG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001588

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

HERZOG

Business Name

ROBERT B HERZOG

Original Issue Date

11/17/1997

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

POMONA

State

Zip

62975

County

JACKSON

Ever Disciplined

LastModifiedDate

09/11/2005