SUSAN M KOVAL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004644

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

KOVAL

Business Name

SUSAN M KOVAL

Original Issue Date

11/12/1997

Effective Date

12/31/2021

Expiration Date

12/31/2023

City

WEST LAFAYETTE

State

Zip

47906

Ever Disciplined

LastModifiedDate

03/28/2024