DERIN JENNIFER LANDIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004055

License Status

NOT RENEWED

Business

First Name

DERIN

Middle

JENNIFER

Last Name

LANDIS

Business Name

DERIN JENNIFER LANDIS

Original Issue Date

06/05/2014

Effective Date

06/05/2014

Expiration Date

12/31/2015

City

DECATUR

State

Zip

46733

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016