DUSTIN JOSEPH CARBONI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003620

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

JOSEPH

Last Name

CARBONI

Business Name

DUSTIN JOSEPH CARBONI

Original Issue Date

07/26/2012

Effective Date

07/26/2012

Expiration Date

12/31/2013

City

TERRE HAUTE

State

Zip

47805

County

INDIANA

Ever Disciplined

LastModifiedDate

02/19/2014