SUSAN L SHIELDS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000429

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

SHIELDS

Business Name

SUSAN L SHIELDS

Original Issue Date

03/09/1987

Effective Date

11/19/2015

Expiration Date

12/31/2017

City

LOWELL

State

Zip

46356

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2018