JEFFREY WILLIAM FORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003779

License Status

NOT RENEWED

Business

First Name

JEFFREY WILLIAM

Last Name

FORD

Business Name

JEFFREY WILLIAM FORD

Original Issue Date

09/13/1995

Expiration Date

12/31/1997

City

CHARLOTTE

State

Zip

28217

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

07/28/2005