MANALI JAYANTI SHAH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007168

License Status

NOT RENEWED

Business

First Name

MANALI

Middle

JAYANTI

Last Name

SHAH

Business Name

MANALI JAYANTI SHAH

Original Issue Date

05/19/2004

Effective Date

10/08/2009

Expiration Date

12/31/2011

City

NEW STANTON

State

Zip

15672

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

02/08/2012