MICHAEL A WILDMAN - Occupational Therapist License in Indiana | # 057001706

MICHAEL A WILDMAN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001706

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

A

Last Name

WILDMAN

Business Name

MICHAEL A WILDMAN

Original Issue Date

05/20/1998

Effective Date

12/30/2019

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

05/18/2022