HAYLEY E MANTIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003320

License Status

NOT RENEWED

Business

First Name

HAYLEY

Middle

Last Name

MANTIS

Business Name

HAYLEY E MANTIS

Original Issue Date

11/29/2010

Effective Date

11/09/2011

Expiration Date

12/31/2013

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

02/19/2014