SAMANTHA ROSE WEAVER - Occupational Therapist License in Indiana | # 056011862

SAMANTHA ROSE WEAVER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011862

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

ROSE

Last Name

WEAVER

Business Name

SAMANTHA ROSE WEAVER

Original Issue Date

02/28/2017

Effective Date

12/28/2023

Expiration Date

12/31/2025

State

IN

Ever Disciplined

N

LastModifiedDate

04/01/2026