TABITHA LOUISE SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012412

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

LOUISE

Last Name

SMITH

Business Name

TABITHA LOUISE SMITH

Original Issue Date

02/26/2018

Effective Date

10/02/2019

Expiration Date

01/31/2022

City

INDIANAPOLIS

State

Zip

46227

Ever Disciplined

LastModifiedDate

05/18/2022