JUDENER FONTILUS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004583

License Status

NOT RENEWED

Business

First Name

JUDENER

Last Name

FONTILUS

Business Name

JUDENER FONTILUS

Original Issue Date

07/27/2016

Effective Date

12/09/2019

Expiration Date

01/31/2022

City

LAMAR

State

Zip

47550

Ever Disciplined

LastModifiedDate

05/18/2022