ALYSSA ANNE FORD - Occupational Therapist License in Indiana | # 056008618

ALYSSA ANNE FORD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008618

License Status

NOT RENEWED

Business

N

First Name

ALYSSA

Middle

ANNE

Last Name

FORD

Business Name

ALYSSA ANNE FORD

Original Issue Date

02/19/2009

Effective Date

12/30/2015

Expiration Date

12/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

04/10/2018