HAYLEY E MANTIS - Occupational Therapist License in Indiana | # 057003320

HAYLEY E MANTIS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003320

License Status

NOT RENEWED

Business

N

First Name

HAYLEY

Middle

E

Last Name

MANTIS

Business Name

HAYLEY E MANTIS

Original Issue Date

11/29/2010

Effective Date

11/09/2011

Expiration Date

12/31/2013

State

IN

Ever Disciplined

N

LastModifiedDate

02/19/2014