SAMANTHA JOAN HENDERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003494

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

JOAN

Last Name

HENDERSON

Business Name

SAMANTHA JOAN HENDERSON

Original Issue Date

12/07/2011

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

03/05/2020