DENA K FANT Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003898

License Status

INACTIVE

Business

First Name

DENA K

Last Name

FANT

Business Name

DENA K FANT

Original Issue Date

11/15/1995

Expiration Date

12/31/1997

City

LUBBOCK

State

Zip

79424

County

TEXAS

Ever Disciplined

LastModifiedDate

07/28/2005