MAVIS A TATE - Occupational Therapist License in Indiana | # 056004655

MAVIS A TATE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004655

License Status

NOT RENEWED

Business

N

First Name

MAVIS

Middle

A

Last Name

TATE

Business Name

MAVIS A TATE

Original Issue Date

11/12/1997

Effective Date

12/05/2023

Expiration Date

12/31/2025

State

IN

Ever Disciplined

N

LastModifiedDate

04/01/2026