RANDALL J WORZALLA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001454

License Status

NOT RENEWED

Business

First Name

RANDALL J

Last Name

WORZALLA

Business Name

RANDALL J WORZALLA

Original Issue Date

01/17/1986

Expiration Date

12/31/1999

City

ELIZABETHTOWN

State

Zip

42701

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/28/2005