BRITTANY AMANDA BLY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011128

License Status

NOT RENEWED

Business

First Name

BRITTANY

Middle

AMANDA

Last Name

BLY

Business Name

BRITTANY AMANDA BLY

Original Issue Date

08/20/2015

Effective Date

08/20/2015

Expiration Date

12/31/2015

City

DUBOIS

State

Zip

15801

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

02/08/2016