SUBAH MALIK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005036

License Status

INACTIVE

Business

First Name

SUBAH

Last Name

MALIK

Business Name

SUBAH MALIK

Original Issue Date

11/04/1998

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

FORT WAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

10/02/2009