GWENDOLYN M MATUSZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001868

License Status

NOT RENEWED

Business

First Name

GWENDOLYN

Middle

Last Name

MATUSZ

Business Name

GWENDOLYN M MATUSZ

Original Issue Date

05/12/1999

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

07/28/2005