ALEXANDRA TAYLOR GROOT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012012

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

TAYLOR

Last Name

GROOT

Business Name

ALEXANDRA TAYLOR GROOT

Original Issue Date

06/05/2017

Effective Date

06/05/2017

Expiration Date

12/31/2017

City

NASHVILLE

State

Zip

37206

County

TENNESSEE

Ever Disciplined

LastModifiedDate

04/10/2018