SELENA DIANE ISABELLE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007978

License Status

NOT RENEWED

Business

First Name

SELENA

Middle

DIANE

Last Name

ISABELLE

Business Name

SELENA DIANE ISABELLE

Original Issue Date

02/01/2007

Effective Date

02/01/2007

Expiration Date

12/31/2007

City

HAMPTON

State

Zip

23669

County

VIRGINIA

Ever Disciplined

LastModifiedDate

02/15/2008