License holder summary

SUSAN MICHELLE PREFONTAINE is a Occupational Therapist licensed to practice in Indiana. The address on file for SUSAN MICHELLE PREFONTAINE is INDIANAPOLIS IN 46220. This licensed professional license is not current. The license was granted 04/19/1995 and expired on 12/31/2002.

Indiana

Professional Licensing Agency

SUSAN MICHELLE PREFONTAINE
Occupational Therapist
License number
31001671A
Date granted
04/19/1995
Date expires
12/31/2002
Class
Occupational Therapist
Status
Expired
Address
INDIANAPOLIS IN 46220
indianalicensing.org
ID 8279826
LAST UPDATED 2024-03-14 13:36:58 UTC

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