LOYD DOUGLAS DEROSSETT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002274

License Status

NOT RENEWED

Business

First Name

LOYD

Middle

DOUGLAS

Last Name

DEROSSETT

Business Name

LOYD DOUGLAS DEROSSETT

Original Issue Date

01/31/2002

Effective Date

02/13/2009

Expiration Date

12/31/2009

City

ALTO PASS

State

Zip

62905

County

UNION

Ever Disciplined

LastModifiedDate

02/04/2010