MIGDALIA CHRYSTINA LOPEZ - Occupational Therapist License in Indiana | # 057004096

MIGDALIA CHRYSTINA LOPEZ

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004096

License Status

NOT RENEWED

Business

N

First Name

MIGDALIA

Middle

CHRYSTINA

Last Name

LOPEZ

Business Name

MIGDALIA CHRYSTINA LOPEZ

Original Issue Date

08/06/2014

Effective Date

01/02/2020

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

05/18/2022