ELISE ANNA FULLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005323

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

ANNA

Last Name

FULLER

Business Name

ELISE ANNA FULLER

Original Issue Date

11/06/2019

Effective Date

11/06/2019

Expiration Date

01/31/2022

City

PLANO

State

Zip

75023

Ever Disciplined

LastModifiedDate

05/18/2022