CATHY M MISTOVICH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006686

License Status

NOT RENEWED

Business

First Name

CATHY

Middle

Last Name

MISTOVICH

Business Name

CATHY M MISTOVICH

Original Issue Date

10/08/2002

Effective Date

11/14/2017

Expiration Date

12/31/2019

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

03/05/2020