KIM M MALICOAT - Occupational Therapist License in Indiana | # 057003443

KIM M MALICOAT

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003443

License Status

NOT RENEWED

Business

N

First Name

KIM

Middle

M

Last Name

MALICOAT

Business Name

KIM M MALICOAT

Original Issue Date

08/16/2011

Effective Date

12/09/2013

Expiration Date

12/31/2015

State

IN

Ever Disciplined

N

LastModifiedDate

02/08/2016