RONALD D CROCKETT Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004882

License Status

INACTIVE

Business

First Name

RONALD

Middle

Last Name

CROCKETT

Business Name

RONALD D CROCKETT

Original Issue Date

05/14/1998

Effective Date

11/29/1999

Expiration Date

12/31/1999

City

BELL AIR

State

Zip

21015

County

MARYLAND

Ever Disciplined

LastModifiedDate

07/28/2005