LORI G MCCULLOM Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002765

License Status

INACTIVE

Business

First Name

LORI G

Last Name

MCCULLOM

Business Name

LORI G MCCULLOM

Original Issue Date

12/13/1991

Effective Date

12/08/2003

Expiration Date

12/31/2005

City

WEST ORANGE

State

Zip

07052

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/25/2005