KIMBERLY MARIE MARTINCZAK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010571

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

MARIE

Last Name

MARTINCZAK

Business Name

KIMBERLY MARIE MARTINCZAK

Original Issue Date

04/24/2014

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

SOUTH BEND

State

Zip

46614

Ever Disciplined

LastModifiedDate

03/05/2020