DONNA L LONG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001404

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

LONG

Business Name

DONNA L LONG

Original Issue Date

10/25/1985

Effective Date

01/07/2004

Expiration Date

12/31/2005

City

SAGINAW

State

Zip

48603

County

MICHIGAN

Ever Disciplined

LastModifiedDate

02/16/2006