MATTHEW MIELNICK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013282

License Status

NOT RENEWED

Business

First Name

MATTHEW

Last Name

MIELNICK

Business Name

MATTHEW MIELNICK

Original Issue Date

09/20/2019

Effective Date

01/02/2020

Expiration Date

01/31/2022

City

EARLVILLE

State

Zip

13332

Ever Disciplined

LastModifiedDate

05/18/2022