DIANA S CHANG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009382

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

CHANG

Business Name

DIANA S CHANG

Original Issue Date

05/18/2011

Effective Date

05/18/2011

Expiration Date

12/31/2011

City

FLUSHING

State

Zip

11354

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/08/2012