License holder summary

Jan Ethan Banquicio is a Occupational Therapist licensed to practice in Indiana. The address on file for Jan Ethan Banquicio is Kokomo IN 46902. This licensed professional license is current. The license was granted 09/20/2004 and expired on 12/31/2014.

Indiana

Professional Licensing Agency

Jan Ethan Banquicio
Occupational Therapist
License number
31004083A
Date granted
09/20/2004
Date expires
12/31/2014
Class
Occupational Therapist
Status
Active
Address
Kokomo IN 46902
indianalicensing.org
ID 8279981
LAST UPDATED 2024-04-20 10:50:01 UTC

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