DAISY JANE A BOLANON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011020

License Status

NOT RENEWED

Business

First Name

DAISY JANE

Middle

Last Name

BOLANON

Business Name

DAISY JANE A BOLANON

Original Issue Date

04/24/2015

Effective Date

01/27/2016

Expiration Date

12/31/2017

City

RESTON

State

Zip

20191

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/10/2018