DIANE ELIZABETH BAILEY GOLLOTT Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002853

License Status

INACTIVE

Business

First Name

DIANE ELIZABETH

Last Name

BAILEY GOLLOTT

Business Name

DIANE ELIZABETH BAILEY GOLLOTT

Original Issue Date

05/23/1992

Expiration Date

12/31/1993

City

OCEAN SPRINGS

State

Zip

39564

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

07/28/2005