ELAYNA JANEANE JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013675

License Status

NOT RENEWED

Business

First Name

ELAYNA

Middle

JANEANE

Last Name

JOHNSON

Business Name

ELAYNA JANEANE JOHNSON

Original Issue Date

06/19/2020

Effective Date

10/15/2021

Expiration Date

12/31/2023

City

PATTERSONVILLE

State

Zip

12137

Ever Disciplined

LastModifiedDate

03/28/2024