LAURIE M DELVALLE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004139

License Status

NOT RENEWED

Business

First Name

LAURIE M

Last Name

DELVALLE

Business Name

LAURIE M DELVALLE

Original Issue Date

09/11/1996

Expiration Date

12/31/1997

City

HOBART

State

Zip

46342

Ever Disciplined

LastModifiedDate

07/28/2005