CAROLYN JEAN BRODY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005276

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

JEAN

Last Name

BRODY

Business Name

CAROLYN JEAN BRODY

Original Issue Date

03/04/1999

Effective Date

11/06/2001

Expiration Date

12/31/2001

City

BRIDGEPORT

State

Zip

48722

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/11/2005