WAYNE A KOPAC - Occupational Therapist License in Indiana | # 057000356

WAYNE A KOPAC

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000356

License Status

INACTIVE

Business

N

First Name

WAYNE A

Last Name

KOPAC

Business Name

WAYNE A KOPAC

Original Issue Date

01/17/1986

Effective Date

10/25/2005

Expiration Date

12/31/2007

State

IN

Ever Disciplined

N

LastModifiedDate

10/10/2007