CAROL A GROTH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001073

License Status

INACTIVE

Business

First Name

CAROL A

Last Name

GROTH

Business Name

CAROL A GROTH

Original Issue Date

01/09/1995

Effective Date

12/18/2003

Expiration Date

12/31/2005

City

LAKE CITY

State

Zip

55041

Ever Disciplined

LastModifiedDate

10/25/2005