ASHLEY ELIZABETH PENCILLE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011149

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

ELIZABETH

Last Name

PENCILLE

Business Name

ASHLEY ELIZABETH PENCILLE

Original Issue Date

08/28/2015

Effective Date

11/17/2015

Expiration Date

12/31/2017

City

LOCKPORT

State

Zip

14094

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/10/2018