HOLLY BIVONA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001009

License Status

INACTIVE

Business

First Name

HOLLY

Last Name

BIVONA

Business Name

HOLLY BIVONA

Original Issue Date

03/22/1994

Effective Date

12/16/2021

Expiration Date

12/31/2023

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

03/28/2024