BAILEE SUE KOPATICH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005081

License Status

NOT RENEWED

Business

First Name

BAILEE

Middle

SUE

Last Name

KOPATICH

Business Name

BAILEE SUE KOPATICH

Original Issue Date

12/05/2018

Effective Date

12/18/2019

Expiration Date

01/31/2022

City

MOUNT VERNON

State

Zip

47620

Ever Disciplined

LastModifiedDate

05/18/2022