PEARL M HERNANDEZ Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003673

License Status

INACTIVE

Business

First Name

PEARL M

Last Name

HERNANDEZ

Business Name

PEARL M HERNANDEZ

Original Issue Date

04/19/1995

Effective Date

11/26/2001

Expiration Date

12/31/2001

City

MERRILLVILLE

State

Zip

46410

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005