LAURA L FORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000376

License Status

NOT RENEWED

Business

First Name

LAURA L

Last Name

FORD

Business Name

LAURA L FORD

Original Issue Date

03/18/1986

Effective Date

10/10/2017

Expiration Date

12/31/2019

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

03/05/2020