ETHELBERT M MENCHAVEZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007799

License Status

NOT RENEWED

Business

First Name

ETHELBERT

Middle

Last Name

MENCHAVEZ

Business Name

ETHELBERT M MENCHAVEZ

Original Issue Date

06/15/2006

Effective Date

11/12/2015

Expiration Date

12/31/2017

City

LAS VEGAS

State

Zip

89178

County

NEBRASKA

Ever Disciplined

LastModifiedDate

04/10/2018