LORETTA KAY BERGREN - Occupational Therapist License in Indiana | # 057002959

LORETTA KAY BERGREN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002959

License Status

NOT RENEWED

Business

N

First Name

LORETTA

Middle

KAY

Last Name

BERGREN

Business Name

LORETTA KAY BERGREN

Original Issue Date

05/27/2008

Effective Date

12/19/2013

Expiration Date

12/31/2015

State

IN

Ever Disciplined

N

LastModifiedDate

02/08/2016