AMANDA G BLADE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005099

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

BLADE

Business Name

AMANDA G BLADE

Original Issue Date

11/12/1998

Effective Date

12/29/2015

Expiration Date

12/31/2017

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

10/06/2017