PHILIP MICHAEL MCINTOSH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002607

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

MICHAEL

Last Name

MCINTOSH

Business Name

PHILIP MICHAEL MCINTOSH

Original Issue Date

07/05/2005

Effective Date

12/19/2019

Expiration Date

01/31/2022

City

JACKSON

State

Zip

38305

County

TENNESSEE

Ever Disciplined

LastModifiedDate

05/18/2022