FIONA BRAZIL D'SOUZA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005235

License Status

INACTIVE

Business

First Name

FIONA

Middle

BRAZIL

Last Name

D'SOUZA

Business Name

FIONA BRAZIL D'SOUZA

Original Issue Date

01/07/1999

Effective Date

12/19/2001

Expiration Date

12/31/2001

City

FAIRFAX

State

Zip

22033

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/11/2005