JORDAN SONG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014981

License Status

NOT RENEWED

Business

First Name

JORDAN

Last Name

SONG

Business Name

JORDAN SONG

Original Issue Date

07/11/2022

Effective Date

07/11/2022

Expiration Date

12/31/2023

City

AUBURN

State

Zip

98092

Ever Disciplined

LastModifiedDate

03/28/2024