License holder summary

LACIVITA , BURT is a Department Of Health - Occupational Therapist licensed to practice in Tennessee. This medical licensee license is current. The license was granted 04/22/2016 and expired on 04/30/2017.

Department of Health

Board of Medical Examiners

LACIVITA , BURT
Department Of Health - Occupational Therapist
License number
5216
Date granted
04/22/2016
Date expires
04/30/2017
Class
Department Of Health - Occupational Therapist
Status
Licensed
Address
medicaltn.com
ID 42245426
LAST UPDATED 2024-02-29 05:16:15 UTC

This website is unaffiliated with the Board of Medical Examiners. Please verify all information directly with the relevant official government authority.

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