SUSAN E SHAW Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003102

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

SHAW

Business Name

SUSAN E SHAW

Original Issue Date

03/19/1993

Expiration Date

12/31/1995

City

BIRMINGHAM

State

Zip

48009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/28/2005