AMY CAROL PETERSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005103

License Status

INACTIVE

Business

First Name

AMY

Middle

CAROL

Last Name

PETERSON

Business Name

AMY CAROL PETERSON

Original Issue Date

11/12/1998

Effective Date

12/22/1999

Expiration Date

12/31/1999

City

ARLINGTONS

State

Zip

22204

County

VIRGINIA

Ever Disciplined

LastModifiedDate

07/28/2005