CHRISTINE MARIE RODRIGUEZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003564

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

RODRIGUEZ

Business Name

CHRISTINE MARIE RODRIGUEZ

Original Issue Date

04/12/2012

Effective Date

12/07/2015

Expiration Date

12/31/2017

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2018