CHRISTINA RENAE MARTIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003927

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

RENAE

Last Name

MARTIN

Business Name

CHRISTINA RENAE MARTIN

Original Issue Date

10/10/2013

Effective Date

10/10/2013

Expiration Date

12/31/2015

City

FORT WAYNE

State

Zip

46806

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016