WAYNE A KOPAC Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000356

License Status

INACTIVE

Business

First Name

WAYNE A

Last Name

KOPAC

Business Name

WAYNE A KOPAC

Original Issue Date

01/17/1986

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

10/10/2007