MIGDALIA CHRYSTINA LOPEZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004096

License Status

NOT RENEWED

Business

First Name

MIGDALIA

Middle

CHRYSTINA

Last Name

LOPEZ

Business Name

MIGDALIA CHRYSTINA LOPEZ

Original Issue Date

08/06/2014

Effective Date

01/02/2020

Expiration Date

01/31/2022

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Ever Disciplined

LastModifiedDate

05/18/2022