MARTHA SOPHIA BRINK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004892

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

SOPHIA

Last Name

BRINK

Business Name

MARTHA SOPHIA BRINK

Original Issue Date

05/27/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

NASHVILLE

State

Zip

37221

County

TENNESSEE

Ever Disciplined

LastModifiedDate

07/28/2005