KIMBERLY MARIE MARTINCZAK - Occupational Therapist License in Indiana | # 056010571

KIMBERLY MARIE MARTINCZAK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010571

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

MARIE

Last Name

MARTINCZAK

Business Name

KIMBERLY MARIE MARTINCZAK

Original Issue Date

04/24/2014

Effective Date

10/06/2017

Expiration Date

12/31/2019

State

IN

Ever Disciplined

N

LastModifiedDate

03/05/2020