BROOKE GILLIAN TAYLOR Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005408

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

GILLIAN

Last Name

TAYLOR

Business Name

BROOKE GILLIAN TAYLOR

Original Issue Date

05/17/1999

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

INDIANAPOLIS

State

Zip

46227

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005