CHRISTINA MARIE COLLAZO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004535

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

MARIE

Last Name

COLLAZO

Business Name

CHRISTINA MARIE COLLAZO

Original Issue Date

05/19/2016

Effective Date

01/02/2020

Expiration Date

01/31/2022

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

05/18/2022