MARY ALICE GRUGEL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000117

License Status

NOT RENEWED

Business

First Name

MARY ALICE

Last Name

GRUGEL

Business Name

MARY ALICE GRUGEL

Original Issue Date

08/08/1984

Effective Date

12/21/2011

Expiration Date

12/31/2013

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

02/19/2014