NOPAWAN POOMCHONGHKO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012379

License Status

NOT RENEWED

Business

First Name

NOPAWAN

Last Name

POOMCHONGHKO

Business Name

NOPAWAN POOMCHONGHKO

Original Issue Date

02/09/2018

Effective Date

02/09/2018

Expiration Date

12/31/2019

City

WEST ISLIP

State

Zip

11795

Ever Disciplined

LastModifiedDate

03/05/2020