JODI LEE CARROLL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009103

License Status

NOT RENEWED

Business

First Name

JODI

Middle

LEE

Last Name

CARROLL

Business Name

JODI LEE CARROLL

Original Issue Date

08/19/2010

Effective Date

12/30/2011

Expiration Date

12/31/2013

City

TRAVERSE CITY

State

Zip

49684

County

MICHIGAN

Ever Disciplined

LastModifiedDate

02/19/2014