Indiana
Professional Licensing Agency
Louise Ann Tancibok
Occupational Therapy Assistant
License number
32000500A
Date granted
03/29/1996
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Chesterton IN 46304
indianalicensing.org
ID 8275150
LAST UPDATED 2024-03-09 06:47:05 UTC
LAST UPDATED 2024-03-09 06:47:05 UTC
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