CAROLYN BLOUCH REYNOLDS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006848

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

BLOUCH

Last Name

REYNOLDS

Business Name

CAROLYN BLOUCH REYNOLDS

Original Issue Date

04/17/2003

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

NASHVILLE

State

Zip

37205

Ever Disciplined

LastModifiedDate

10/02/2009