ANGELA DIANE MOSS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004908

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

DIANE

Last Name

MOSS

Business Name

ANGELA DIANE MOSS

Original Issue Date

06/15/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

TRAVERSE CITY

State

Zip

49684

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/28/2005