ERICA MARGOT UMBACK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005906

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

MARGOT

Last Name

UMBACK

Business Name

ERICA MARGOT UMBACK

Original Issue Date

10/19/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

CHARLOTTESVILLE

State

Zip

22901

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/11/2005