BERNICE WILSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003884

License Status

NOT RENEWED

Business

First Name

BERNICE

Last Name

WILSON

Business Name

BERNICE WILSON

Original Issue Date

08/19/2013

Effective Date

12/03/2013

Expiration Date

12/31/2015

City

FORT WAYNE

State

Zip

46806

County

INDIANA

Ever Disciplined

LastModifiedDate

07/07/2017