SUSAN MARIE WILSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004219

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

WILSON

Business Name

SUSAN MARIE WILSON

Original Issue Date

09/12/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

INDIANAPOLIS

State

Zip

46228

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005