EMILY JANE PETERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011756

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

JANE

Last Name

PETERSON

Business Name

EMILY JANE PETERSON

Original Issue Date

11/07/2016

Effective Date

12/07/2021

Expiration Date

12/31/2023

City

DALLAS

State

Zip

75208

Ever Disciplined

LastModifiedDate

03/28/2024