ELIZABETH MEDINA - Occupational Therapist License in Indiana | # 057001660

ELIZABETH MEDINA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001660

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Last Name

MEDINA

Business Name

ELIZABETH MEDINA

Original Issue Date

05/12/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IN

Ever Disciplined

N

LastModifiedDate

09/11/2005