KIM M MALICOAT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003443

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

MALICOAT

Business Name

KIM M MALICOAT

Original Issue Date

08/16/2011

Effective Date

12/09/2013

Expiration Date

12/31/2015

City

INDIANAPOLIS

State

Zip

46221

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016