TRICIA DOLORES BAUMGART Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004536

License Status

NOT RENEWED

Business

First Name

TRICIA

Middle

DOLORES

Last Name

BAUMGART

Business Name

TRICIA DOLORES BAUMGART

Original Issue Date

05/19/2016

Effective Date

05/19/2016

Expiration Date

12/31/2017

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

04/10/2018