MELISSA CHAVEZ Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005925

License Status

INACTIVE

Business

First Name

MELISSA

Last Name

CHAVEZ

Business Name

MELISSA CHAVEZ

Original Issue Date

11/01/2000

Effective Date

02/05/2004

Expiration Date

12/31/2003

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005