SUSAN M MALLOW Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001922

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

MALLOW

Business Name

SUSAN M MALLOW

Original Issue Date

03/08/1988

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

IOICOLA

State

Zip

49965

County

MICHIGAN

Ever Disciplined

LastModifiedDate

02/15/2008