DIANE T BALLING Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001270

License Status

INACTIVE

Business

First Name

DIANE T

Last Name

BALLING

Business Name

DIANE T BALLING

Original Issue Date

03/07/1996

Expiration Date

12/31/1999

City

NEW BUFFALO

State

Zip

49117

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/28/2005