SUSAN L DOHERTY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000484

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

DOHERTY

Business Name

SUSAN L DOHERTY

Original Issue Date

03/05/1988

Expiration Date

12/31/1989

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

07/28/2005