ELAINA J DALOMBA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007518

License Status

NOT RENEWED

Business

First Name

ELAINA

Middle

Last Name

DALOMBA

Business Name

ELAINA J DALOMBA

Original Issue Date

07/22/2005

Effective Date

10/21/2009

Expiration Date

12/31/2011

City

LAKENHEATH

State

Zip

09464

County

NEW YORK

Ever Disciplined

LastModifiedDate

03/11/2015