MAILE NIOLE LARANANG GORDON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012232

License Status

NOT RENEWED

Business

First Name

MAILE

Middle

NIOLE LARANANG

Last Name

GORDON

Business Name

MAILE NIOLE LARANANG GORDON

Original Issue Date

10/30/2017

Effective Date

10/30/2017

Expiration Date

12/31/2019

City

GRAND FORKS

State

Zip

58201

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

03/05/2020