MITCHELL WAYNE MATTINGLY - Occupational Therapist License in Indiana | # 056005376

MITCHELL WAYNE MATTINGLY

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005376

License Status

INACTIVE

Business

N

First Name

MITCHELL

Middle

WAYNE

Last Name

MATTINGLY

Business Name

MITCHELL WAYNE MATTINGLY

Original Issue Date

05/17/1999

Effective Date

10/25/2005

Expiration Date

12/31/2007

State

IN

Ever Disciplined

N

LastModifiedDate

10/10/2007