SITAPA HOMPUANGPHOO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005939

License Status

NOT RENEWED

Business

First Name

SITAPA

Last Name

HOMPUANGPHOO

Business Name

SITAPA HOMPUANGPHOO

Original Issue Date

11/01/2000

Effective Date

01/06/2004

Expiration Date

12/31/2005

City

OSSINING

State

Zip

10562

Ever Disciplined

LastModifiedDate

02/16/2006