PAUL A FONTANA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000141

License Status

INACTIVE

Business

First Name

PAUL A

Last Name

FONTANA

Business Name

PAUL A FONTANA

Original Issue Date

05/01/1984

Expiration Date

12/31/1985

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

07/28/2005