MARILYN THERESE FAIRBANKS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001455

License Status

INACTIVE

Business

First Name

MARILYN THERESE

Last Name

FAIRBANKS

Business Name

MARILYN THERESE FAIRBANKS

Original Issue Date

05/03/1997

Effective Date

02/03/2004

Expiration Date

12/31/2003

City

LAS VEGAS

State

Zip

89135

County

NEVADA

Ever Disciplined

LastModifiedDate

09/11/2005