HOLLY BIVONA - Occupational Therapist License in Indiana | # 057001009

HOLLY BIVONA

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001009

License Status

INACTIVE

Business

N

First Name

HOLLY

Last Name

BIVONA

Business Name

HOLLY BIVONA

Original Issue Date

03/22/1994

Effective Date

12/16/2021

Expiration Date

12/31/2023

State

IN

Ever Disciplined

N

LastModifiedDate

03/28/2024