MANISH GUPTA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005024

License Status

NOT RENEWED

Business

First Name

MANISH

Last Name

GUPTA

Business Name

MANISH GUPTA

Original Issue Date

10/19/1998

Effective Date

12/18/2003

Expiration Date

12/31/2005

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

02/16/2006