Indiana
Professional Licensing Agency
Modena Maree Grigsby
Occupational Therapy Assistant
License number
32001200A
Date granted
08/12/2004
Date expires
12/31/2006
Class
Occupational Therapy Assistant
Status
Expired
Address
Milford OH 45150
indianalicensing.org
ID 8276576
LAST UPDATED 2024-04-09 08:03:33 UTC
LAST UPDATED 2024-04-09 08:03:33 UTC
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