DAPHNE MICHELLE FOWLER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001831

License Status

INACTIVE

Business

First Name

DAPHNE

Middle

MICHELLE

Last Name

FOWLER

Business Name

DAPHNE MICHELLE FOWLER

Original Issue Date

02/26/1999

Effective Date

11/29/1999

Expiration Date

12/31/1999

City

HERKINER

State

Zip

13350

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/28/2005