MELEA BETH LUNG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004394

License Status

NOT RENEWED

Business

First Name

MELEA

Middle

BETH

Last Name

LUNG

Business Name

MELEA BETH LUNG

Original Issue Date

10/08/2015

Effective Date

10/08/2015

Expiration Date

12/31/2017

City

HAMILTON

State

Zip

62341

County

HANCOCK

Ever Disciplined

LastModifiedDate

04/10/2018