KELLY LYN SPICER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004285

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYN

Last Name

SPICER

Business Name

KELLY LYN SPICER

Original Issue Date

06/04/2015

Effective Date

10/26/2015

Expiration Date

12/31/2017

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2018