TRACEY WHITTAM CHITWOOD Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003919

License Status

INACTIVE

Business

First Name

TRACEY

Last Name

WHITTAM CHITWOOD

Business Name

TRACEY WHITTAM CHITWOOD

Original Issue Date

01/02/1996

Effective Date

11/26/2001

Expiration Date

12/31/2001

City

BRISTOL

State

Zip

37620

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/11/2005