SHANNON DOLAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014737

License Status

NOT RENEWED

Business

First Name

SHANNON

Last Name

DOLAN

Business Name

SHANNON DOLAN

Original Issue Date

02/14/2022

Effective Date

02/14/2022

Expiration Date

12/31/2023

City

ITHACA

State

Zip

14850

Ever Disciplined

LastModifiedDate

03/28/2024