LATIA SHANAE KIRBY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009762

License Status

NOT RENEWED

Business

First Name

LATIA

Middle

SHANAE

Last Name

KIRBY

Business Name

LATIA SHANAE KIRBY

Original Issue Date

05/24/2012

Effective Date

01/07/2014

Expiration Date

12/31/2015

City

OXON HILL

State

Zip

20745

County

MARYLAND

Ever Disciplined

LastModifiedDate

02/08/2016