SUSAN E PETRAITIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000206

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

PETRAITIS

Business Name

SUSAN E PETRAITIS

Original Issue Date

08/08/1984

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/11/2005