ALYSSA D ACOSTA WOLFE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011507

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

D ACOSTA

Last Name

WOLFE

Business Name

ALYSSA D ACOSTA WOLFE

Original Issue Date

04/13/2016

Effective Date

10/30/2017

Expiration Date

12/31/2019

City

ASHBURN

State

Zip

20147

Ever Disciplined

LastModifiedDate

03/05/2020