NANCIE TINA FURGANG Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004562

License Status

INACTIVE

Business

First Name

NANCIE TINA

Last Name

FURGANG

Business Name

NANCIE TINA FURGANG

Original Issue Date

10/23/1997

Effective Date

12/05/2001

Expiration Date

12/31/2001

City

WEST BLOOMFIELD

State

Zip

48324

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/11/2005