CRYSTAL ANN GOODRICH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014605

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

ANN

Last Name

GOODRICH

Business Name

CRYSTAL ANN GOODRICH

Original Issue Date

11/01/2021

Effective Date

11/01/2021

Expiration Date

12/31/2023

City

WATERVILLE

State

Zip

04901

Ever Disciplined

LastModifiedDate

03/28/2024