MIRANDA J KOLLEY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008902

License Status

INACTIVE

Business

First Name

MIRANDA

Middle

Last Name

KOLLEY

Business Name

MIRANDA J KOLLEY

Original Issue Date

12/15/2009

Effective Date

12/15/2009

Expiration Date

12/31/2011

City

CHANDLER

State

Zip

47610

County

INDIANA

Ever Disciplined

LastModifiedDate

10/05/2011