JOHN JASON PAHATI MANIQUIZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011558

License Status

NOT RENEWED

Business

First Name

JOHN JASON

Middle

PAHATI

Last Name

MANIQUIZ

Business Name

JOHN JASON PAHATI MANIQUIZ

Original Issue Date

06/30/2016

Effective Date

06/30/2016

Expiration Date

12/31/2017

City

CHARLOTTE

State

Zip

28202

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

04/10/2018