ERNESTINE PANEK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001997

License Status

NOT RENEWED

Business

First Name

ERNESTINE

Last Name

PANEK

Business Name

ERNESTINE PANEK

Original Issue Date

05/12/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

PORTLAND

State

Zip

78374

County

TEXAS

Ever Disciplined

LastModifiedDate

09/11/2005