SHANNON LEE WEST - Occupational Therapist License in Indiana | # 056003953

SHANNON LEE WEST

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003953

License Status

INACTIVE

Business

N

First Name

SHANNON LEE

Last Name

WEST

Business Name

SHANNON LEE WEST

Original Issue Date

03/07/1996

Effective Date

01/07/2004

Expiration Date

12/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/25/2005