MARK EDWARD ZINZILIETA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001558

License Status

NOT RENEWED

Business

First Name

MARK EDWARD

Last Name

ZINZILIETA

Business Name

MARK EDWARD ZINZILIETA

Original Issue Date

11/12/1997

Effective Date

12/12/2011

Expiration Date

12/31/2013

City

BRENTWOOD

State

Zip

37027

County

TENNESSEE

Ever Disciplined

LastModifiedDate

02/19/2014