LAUREN ELIZABETH WINE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014830

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

WINE

Business Name

LAUREN ELIZABETH WINE

Original Issue Date

03/21/2022

Effective Date

03/21/2022

Expiration Date

12/31/2023

City

MIDLOTHIAN

State

Zip

23113

Ever Disciplined

LastModifiedDate

03/28/2024