MITCHELL WAYNE MATTINGLY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005376

License Status

INACTIVE

Business

First Name

MITCHELL

Middle

WAYNE

Last Name

MATTINGLY

Business Name

MITCHELL WAYNE MATTINGLY

Original Issue Date

05/17/1999

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

MARION

State

Zip

46952

County

INDIANA

Ever Disciplined

LastModifiedDate

10/10/2007