ASHLEY MARIE CLARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003477

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

MARIE

Last Name

CLARK

Business Name

ASHLEY MARIE CLARK

Original Issue Date

10/19/2011

Effective Date

01/02/2014

Expiration Date

12/31/2015

City

HOBART

State

Zip

46342

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016