AMANDA ELIZABETH WICKENKAMP - Occupational Therapist License in Indiana | # 056007820

AMANDA ELIZABETH WICKENKAMP

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007820

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

ELIZABETH

Last Name

WICKENKAMP

Business Name

AMANDA ELIZABETH WICKENKAMP

Original Issue Date

07/13/2006

Effective Date

07/13/2006

Expiration Date

12/31/2007

State

IN

Ever Disciplined

N

LastModifiedDate

02/15/2008