BLOSSOM PRUDENCE MARLEY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004015

License Status

NOT RENEWED

Business

First Name

BLOSSOM PRUDENCE

Last Name

MARLEY

Business Name

BLOSSOM PRUDENCE MARLEY

Original Issue Date

03/20/1996

Expiration Date

12/31/1999

City

ALEXANDRIA

State

Zip

71303

County

LOUISIANA

Ever Disciplined

LastModifiedDate

07/28/2005