CHRISTINA MARIE COLLAZO - Occupational Therapist License in Indiana | # 057004535

CHRISTINA MARIE COLLAZO

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004535

License Status

NOT RENEWED

Business

N

First Name

CHRISTINA

Middle

MARIE

Last Name

COLLAZO

Business Name

CHRISTINA MARIE COLLAZO

Original Issue Date

05/19/2016

Effective Date

01/02/2020

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

05/18/2022