TIFFANY RENEE HARTMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006954

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

RENEE

Last Name

HARTMAN

Business Name

TIFFANY RENEE HARTMAN

Original Issue Date

08/22/2003

Effective Date

12/17/2003

Expiration Date

12/31/2005

City

ALLEN PARK

State

Zip

48101

County

WAYNE

Ever Disciplined

LastModifiedDate

02/16/2006