LORETTA KAY BERGREN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002959

License Status

NOT RENEWED

Business

First Name

LORETTA

Middle

KAY

Last Name

BERGREN

Business Name

LORETTA KAY BERGREN

Original Issue Date

05/27/2008

Effective Date

12/19/2013

Expiration Date

12/31/2015

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016