MARY LOUISE MAGDZIAK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000003

License Status

NOT RENEWED

Business

First Name

MARY LOUISE

Last Name

MAGDZIAK

Business Name

MARY LOUISE MAGDZIAK

Original Issue Date

04/12/1984

Effective Date

01/25/2018

Expiration Date

12/31/2019

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

03/05/2020