BRYNNE MARIE DOHERTY - Occupational Therapist License in Indiana | # 057004599

BRYNNE MARIE DOHERTY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004599

License Status

NOT RENEWED

Business

N

First Name

BRYNNE

Middle

MARIE

Last Name

DOHERTY

Business Name

BRYNNE MARIE DOHERTY

Original Issue Date

08/10/2016

Effective Date

12/16/2019

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

05/18/2022