KSHITIJA R SHAH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003535

License Status

INACTIVE

Business

First Name

KSHITIJA R

Last Name

SHAH

Business Name

KSHITIJA R SHAH

Original Issue Date

09/22/1994

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

BLOOMINGTON

State

Zip

47401

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/10/2007