MARK ROBERT EGAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004212

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ROBERT

Last Name

EGAN

Business Name

MARK ROBERT EGAN

Original Issue Date

03/05/2015

Effective Date

11/30/2015

Expiration Date

12/31/2017

City

MOORE

State

Zip

29369

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

04/10/2018