AMY L EAGENS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008345

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

EAGENS

Business Name

AMY L EAGENS

Original Issue Date

05/06/2008

Effective Date

01/02/2020

Expiration Date

01/31/2022

City

SCHERERVILLE

State

Zip

46375

County

LAKE

Ever Disciplined

LastModifiedDate

05/18/2022