GABRIELLE MULLEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005522

License Status

NOT RENEWED

Business

First Name

GABRIELLE

Last Name

MULLEN

Business Name

GABRIELLE MULLEN

Original Issue Date

12/28/2020

Effective Date

12/28/2020

Expiration Date

01/31/2022

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

05/18/2022