TANET M QUAMBY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001772

License Status

NOT RENEWED

Business

First Name

TANET

Middle

Last Name

QUAMBY

Business Name

TANET M QUAMBY

Original Issue Date

11/09/1998

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

WELLSVILLE

State

Zip

63384

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/05/2020