STEPHANIE MICHELLE MARTIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008874

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MICHELLE

Last Name

MARTIN

Business Name

STEPHANIE MICHELLE MARTIN

Original Issue Date

11/03/2009

Effective Date

11/30/2015

Expiration Date

12/31/2017

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2018