JALAYNA GRACE PAGE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010663

License Status

NOT RENEWED

Business

First Name

JALAYNA

Middle

GRACE

Last Name

PAGE

Business Name

JALAYNA GRACE PAGE

Original Issue Date

08/05/2014

Effective Date

12/09/2015

Expiration Date

12/31/2017

City

WHEATLAND

State

Zip

47597

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2018