GRACE DOMINGO TINAZA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004745

License Status

NOT RENEWED

Business

First Name

GRACE DOMINGO

Last Name

TINAZA

Business Name

GRACE DOMINGO TINAZA

Original Issue Date

02/06/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

CORDOVA

State

Zip

38016

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/11/2005