JERRYDINE EDMOND MATHIS - Occupational Therapist License in Indiana | # 056001470

JERRYDINE EDMOND MATHIS

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001470

License Status

INACTIVE

Business

N

First Name

JERRYDINE EDMOND

Last Name

MATHIS

Business Name

JERRYDINE EDMOND MATHIS

Original Issue Date

02/27/1986

Expiration Date

12/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

07/28/2005