CHARLES H BOARDMAN IV Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003419

License Status

INACTIVE

Business

First Name

CHARLES

Middle

Last Name

BOARDMAN

Suffix

Business Name

CHARLES H BOARDMAN IV

Original Issue Date

06/09/1994

Expiration Date

12/31/1997

City

SAN ANTONIO

State

Zip

78233

Ever Disciplined

LastModifiedDate

07/28/2005