KRISTIN MARIE BANACH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008020

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

MARIE

Last Name

BANACH

Business Name

KRISTIN MARIE BANACH

Original Issue Date

04/04/2007

Effective Date

04/04/2007

Expiration Date

12/31/2007

City

VENETIA

State

Zip

15367

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

02/15/2008