EMILY MARIE BIVENS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007010

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

MARIE

Last Name

BIVENS

Business Name

EMILY MARIE BIVENS

Original Issue Date

10/08/2003

Effective Date

10/08/2003

Expiration Date

12/31/2005

City

NEWBURGH

State

Zip

47630

County

INDIANA

Ever Disciplined

LastModifiedDate

02/16/2006