DONNA JEAN GOVERT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002876

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

JEAN

Last Name

GOVERT

Business Name

DONNA JEAN GOVERT

Original Issue Date

09/25/2007

Effective Date

01/04/2016

Expiration Date

12/31/2017

City

SAINT JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2018