ADA CECILIA EZEANI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007504

License Status

NOT RENEWED

Business

First Name

ADA

Middle

CECILIA

Last Name

EZEANI

Business Name

ADA CECILIA EZEANI

Original Issue Date

06/28/2005

Effective Date

06/28/2005

Expiration Date

12/31/2005

City

BELTSVILLE

State

Zip

20705

County

MARYLAND

Ever Disciplined

LastModifiedDate

02/16/2006