THERESA CLARK - Occupational Therapist License in Indiana | # 057002623

THERESA CLARK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002623

License Status

NOT RENEWED

Business

N

First Name

THERESA

Last Name

CLARK

Business Name

THERESA CLARK

Original Issue Date

08/11/2005

Effective Date

11/23/2015

Expiration Date

12/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

04/10/2018