NATASHA JEANNE MARTINEZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002246

License Status

NOT RENEWED

Business

First Name

NATASHA

Middle

JEANNE

Last Name

MARTINEZ

Business Name

NATASHA JEANNE MARTINEZ

Original Issue Date

09/24/2001

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005