ANGELA FUENTES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013618

License Status

NOT RENEWED

Business

First Name

ANGELA

Last Name

FUENTES

Business Name

ANGELA FUENTES

Original Issue Date

05/19/2020

Effective Date

05/19/2020

Expiration Date

01/31/2022

City

LAKEWOOD

State

Zip

44107

Ever Disciplined

LastModifiedDate

05/18/2022