License holder summary

Fallon Shively is a Temporary Occupational Therapist Permit licensed to practice in Indiana. The address on file for Fallon Shively is Plainfield IN 46168. This licensed professional license is not current. The license was granted 07/12/2013 and expired on 01/08/2014.

Indiana

Professional Licensing Agency

Fallon Shively
Temporary Occupational Therapist Permit
License number
99058063A
Date granted
07/12/2013
Date expires
01/08/2014
Class
Temporary Occupational Therapist Permit
Status
Superceded
Address
Plainfield IN 46168
indianalicensing.org
ID 8282696
LAST UPDATED 2026-06-05 06:33:23 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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