CRYSTAL KENYA ODOM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002877

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

KENYA

Last Name

ODOM

Business Name

CRYSTAL KENYA ODOM

Original Issue Date

09/26/2007

Effective Date

09/26/2007

Expiration Date

12/31/2007

City

MISHAWAKA

State

Zip

46545

County

INDIANA

Ever Disciplined

LastModifiedDate

03/31/2008