MARSHA LYNN REVIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002306

License Status

NOT RENEWED

Business

First Name

MARSHA

Middle

LYNN

Last Name

REVIS

Business Name

MARSHA LYNN REVIS

Original Issue Date

04/10/2002

Effective Date

10/28/2009

Expiration Date

12/31/2011

City

BRIGHTON

State

Zip

62012

County

JERSEY

Ever Disciplined

LastModifiedDate

02/08/2012