CARL RONALD MAUSISA QUIRONG Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007106

License Status

INACTIVE

Business

First Name

CARL RONALD

Middle

MAUSISA

Last Name

QUIRONG

Business Name

CARL RONALD MAUSISA QUIRONG

Original Issue Date

02/26/2004

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

LAWTON

State

Zip

73505

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/10/2007