ERIN L FONVILLE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009058

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

FONVILLE

Business Name

ERIN L FONVILLE

Original Issue Date

06/23/2010

Effective Date

01/17/2012

Expiration Date

12/31/2013

City

DULUTH

State

Zip

55807

Ever Disciplined

LastModifiedDate

02/19/2014