PETER S MISTOVICH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003112

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

MISTOVICH

Business Name

PETER S MISTOVICH

Original Issue Date

06/17/2009

Effective Date

11/24/2009

Expiration Date

12/31/2011

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2012