BRIAN MATTHEW ZAMZOW - Occupational Therapist License in Indiana | # 056010212

BRIAN MATTHEW ZAMZOW

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010212

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

MATTHEW

Last Name

ZAMZOW

Business Name

BRIAN MATTHEW ZAMZOW

Original Issue Date

07/09/2013

Effective Date

10/21/2013

Expiration Date

12/31/2015

State

IN

Ever Disciplined

N

LastModifiedDate

02/08/2016