JOSE P TAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002064

License Status

INACTIVE

Business

First Name

JOSE P

Last Name

TAN

Business Name

JOSE P TAN

Original Issue Date

09/27/1988

Effective Date

12/16/2019

Expiration Date

12/31/2021

City

MORRISTOWN

State

Zip

37814

Ever Disciplined

LastModifiedDate

12/25/2021