MICHAEL BLAKE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012601

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

BLAKE

Business Name

MICHAEL BLAKE

Original Issue Date

08/13/2018

Effective Date

08/13/2018

Expiration Date

12/31/2019

City

WESTLAKE

State

Zip

44145

Ever Disciplined

LastModifiedDate

03/05/2020