RAQUEL MASCORRO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003832

License Status

NOT RENEWED

Business

First Name

RAQUEL

Last Name

MASCORRO

Business Name

RAQUEL MASCORRO

Original Issue Date

06/21/2013

Effective Date

12/09/2013

Expiration Date

12/31/2015

City

FORT WAYNE

State

Zip

46803

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016