PADRA LYNN SMITH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006650

License Status

INACTIVE

Business

First Name

PADRA

Middle

LYNN

Last Name

SMITH

Business Name

PADRA LYNN SMITH

Original Issue Date

09/18/2002

Effective Date

02/20/2004

Expiration Date

12/31/2003

City

JERSEY CITY

State

Zip

07311

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/11/2005