ANGIE MARIE BELAND Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001998

License Status

NOT RENEWED

Business

First Name

ANGIE

Middle

MARIE

Last Name

BELAND

Business Name

ANGIE MARIE BELAND

Original Issue Date

05/18/2000

Effective Date

01/05/2004

Expiration Date

12/31/2005

City

LAFAYETTE

State

Zip

47905

County

INDIANA

Ever Disciplined

LastModifiedDate

02/16/2006