LUCY J FONG Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001068

License Status

INACTIVE

Business

First Name

LUCY J

Last Name

FONG

Business Name

LUCY J FONG

Original Issue Date

08/08/1984

Expiration Date

12/31/1989

City

SALT LAKE CITY

State

Zip

84111

County

UTAH

Ever Disciplined

LastModifiedDate

07/28/2005