EMILY MARIE BIVENS - Occupational Therapist License in Indiana | # 056007010

EMILY MARIE BIVENS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007010

License Status

NOT RENEWED

Business

N

First Name

EMILY

Middle

MARIE

Last Name

BIVENS

Business Name

EMILY MARIE BIVENS

Original Issue Date

10/08/2003

Effective Date

10/08/2003

Expiration Date

12/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

02/16/2006