SARA JEANETTE SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004356

License Status

NOT RENEWED

Business

First Name

SARA

Middle

JEANETTE

Last Name

SMITH

Business Name

SARA JEANETTE SMITH

Original Issue Date

08/17/2015

Effective Date

08/17/2015

Expiration Date

12/31/2015

City

HOWE

State

Zip

46746

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016