AMY JEANETTE SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005856

License Status

NOT RENEWED

Business

First Name

AMY

Middle

JEANETTE

Last Name

SMITH

Business Name

AMY JEANETTE SMITH

Original Issue Date

07/27/2000

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

DYER

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

02/04/2010