CAMILLE RAE PANGANIBAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006045

License Status

NOT RENEWED

Business

First Name

CAMILLE

Middle

RAE

Last Name

PANGANIBAN

Business Name

CAMILLE RAE PANGANIBAN

Original Issue Date

09/03/2023

Effective Date

09/03/2023

Expiration Date

12/31/2023

City

BLOOMINGDALE

State

Zip

60108

Ever Disciplined

LastModifiedDate

03/28/2024