ALEXANDRA ELAINE FERGUSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013165

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

ELAINE

Last Name

FERGUSON

Business Name

ALEXANDRA ELAINE FERGUSON

Original Issue Date

08/23/2019

Effective Date

10/04/2019

Expiration Date

01/31/2022

City

INDIANAPOLIS

State

Zip

46220

Ever Disciplined

LastModifiedDate

05/18/2022