MARY PATRICIA BANNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007013

License Status

NOT RENEWED

Business

First Name

MARY

Middle

PATRICIA

Last Name

BANNER

Business Name

MARY PATRICIA BANNER

Original Issue Date

10/08/2003

Effective Date

11/24/2015

Expiration Date

12/31/2017

City

ADA

State

Zip

49301

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/10/2018