PORSHA KAY GOODRUM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012324

License Status

NOT RENEWED

Business

First Name

PORSHA

Middle

KAY

Last Name

GOODRUM

Business Name

PORSHA KAY GOODRUM

Original Issue Date

01/09/2018

Effective Date

01/09/2018

Expiration Date

12/31/2019

City

OMAHA

State

Zip

68124

Ever Disciplined

LastModifiedDate

03/05/2020