RANDY MEDINA - Occupational Therapist License in Indiana | # 057002210

RANDY MEDINA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002210

License Status

NOT RENEWED

Business

N

First Name

RANDY

Last Name

MEDINA

Business Name

RANDY MEDINA

Original Issue Date

08/22/2001

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IN

Ever Disciplined

N

LastModifiedDate

09/11/2005