License holder summary

Lacey Danielle Mongold is a Occupational Therapy Assistant licensed to practice in Indiana. The address on file for Lacey Danielle Mongold is Sellersburg IN 47172. This licensed professional license is current. The license was granted 08/04/2009 and expired on 12/31/2014.

Indiana

Professional Licensing Agency

Lacey Danielle Mongold
Occupational Therapy Assistant
License number
32001746A
Date granted
08/04/2009
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Sellersburg IN 47172
indianalicensing.org
ID 8277080
LAST UPDATED 2024-04-11 21:41:57 UTC

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