SHAUN R FANT Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003749

License Status

INACTIVE

Business

First Name

SHAUN R

Last Name

FANT

Business Name

SHAUN R FANT

Original Issue Date

08/28/1995

Expiration Date

12/31/1995

City

LUBBOCK

State

Zip

79424

County

TEXAS

Ever Disciplined

LastModifiedDate

07/28/2005