ALYSSA ANNE FORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008618

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

ANNE

Last Name

FORD

Business Name

ALYSSA ANNE FORD

Original Issue Date

02/19/2009

Effective Date

12/30/2015

Expiration Date

12/31/2017

City

INDIANAPOLIS

State

Zip

46236

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2018