KIMBERLY TASICO ALLY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011662

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

TASICO

Last Name

ALLY

Business Name

KIMBERLY TASICO ALLY

Original Issue Date

09/06/2016

Effective Date

09/06/2016

Expiration Date

12/31/2017

City

BRONX

State

Zip

10471

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/10/2018