TARA RAE WYNINGS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007221

License Status

NOT RENEWED

Business

First Name

TARA

Middle

RAE

Last Name

WYNINGS

Business Name

TARA RAE WYNINGS

Original Issue Date

06/25/2004

Effective Date

06/25/2004

Expiration Date

12/31/2005

City

BERWICK

State

Zip

18603

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

02/16/2006