GAIL AMMON LOTAK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000627

License Status

INACTIVE

Business

First Name

GAIL AMMON

Last Name

LOTAK

Business Name

GAIL AMMON LOTAK

Original Issue Date

07/17/1984

Effective Date

11/27/2017

Expiration Date

12/31/2019

City

GEORGETOWN

State

Zip

78633

County

TEXAS

Ever Disciplined

LastModifiedDate

10/02/2019