DIEGO PUENTEZ - Occupational Therapist License in Indiana | # 057000381

DIEGO PUENTEZ

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000381

License Status

NOT RENEWED

Business

N

First Name

DIEGO

Last Name

PUENTEZ

Business Name

DIEGO PUENTEZ

Original Issue Date

04/15/1986

Effective Date

12/12/2017

Expiration Date

12/31/2019

State

IN

Ever Disciplined

N

LastModifiedDate

03/05/2020