License holder summary

CYNTHIA DIANE BANTOM is a Occupational Therapist & Assistant - Occupational Therapist licensed to practice in Michigan. The address on file for CYNTHIA DIANE BANTOM is Detroit, MI 48215. This licensed professional license is current. The license was granted 01/19/1995 and expired on 05/31/2015.

Michigan

Department of Licensing and Regulation

CYNTHIA DIANE BANTOM
Occupational Therapist & Assistant - Occupational Therapist
License number
5201002206
Date granted
01/19/1995
Date expires
05/31/2015
Class
Occupational Therapist & Assistant - Occupational Therapist
Status
Active
Address
Detroit, MI 48215
michiganlicensing.org
ID 25868657
LAST UPDATED 2024-04-08 21:15:00 UTC

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