YOLLA BLAIR Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002662

License Status

INACTIVE

Business

First Name

YOLLA

Last Name

BLAIR

Business Name

YOLLA BLAIR

Original Issue Date

09/16/1991

Effective Date

02/03/2004

Expiration Date

12/31/2003

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005