BROOKELYN LAYNE TUCKER - Occupational Therapist License in Indiana | # 056014828

BROOKELYN LAYNE TUCKER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014828

License Status

NOT RENEWED

Business

N

First Name

BROOKELYN

Middle

LAYNE

Last Name

TUCKER

Business Name

BROOKELYN LAYNE TUCKER

Original Issue Date

03/21/2022

Effective Date

12/01/2023

Expiration Date

12/31/2025

State

IN

Ever Disciplined

N

LastModifiedDate

04/01/2026