TINA M BIXENMAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003561

License Status

INACTIVE

Business

First Name

TINA M

Last Name

BIXENMAN

Business Name

TINA M BIXENMAN

Original Issue Date

11/22/1994

Effective Date

12/29/2003

Expiration Date

12/31/2005

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/25/2005