MICHAEL A WILDMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001706

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

WILDMAN

Business Name

MICHAEL A WILDMAN

Original Issue Date

05/20/1998

Effective Date

12/30/2019

Expiration Date

01/31/2022

City

LOWELL

State

Zip

46356

County

INDIANA

Ever Disciplined

LastModifiedDate

05/18/2022