License holder summary

LaNiece Ann Clark is a Occupational Therapy Assistant licensed to practice in Indiana. The address on file for LaNiece Ann Clark is Fort Wayne IN 46845. This licensed professional license is current. The license was granted 11/03/2000 and expired on 12/31/2014.

Indiana

Professional Licensing Agency

LaNiece Ann Clark
Occupational Therapy Assistant
License number
32000941A
Date granted
11/03/2000
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Fort Wayne IN 46845
indianalicensing.org
ID 8275758
LAST UPDATED 2024-05-02 11:29:00 UTC

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