TERRY PETRENCHIK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014480

License Status

NOT RENEWED

Business

First Name

TERRY

Last Name

PETRENCHIK

Business Name

TERRY PETRENCHIK

Original Issue Date

09/25/2021

Effective Date

09/25/2021

Expiration Date

01/31/2022

City

INDIANAPOLIS

State

Zip

46203

Ever Disciplined

LastModifiedDate

05/18/2022