AYANA MAIA BINTA AGI HORTON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008678

License Status

NOT RENEWED

Business

First Name

AYANA

Middle

MAIA BINTA AGI

Last Name

HORTON

Business Name

AYANA MAIA BINTA AGI HORTON

Original Issue Date

04/21/2009

Effective Date

04/21/2009

Expiration Date

12/31/2009

City

WEST BLOOMFIELD

State

Zip

48323

County

MICHIGAN

Ever Disciplined

LastModifiedDate

02/04/2010