MARY TERESA SIDLES - Occupational Therapist License in Kentucky | # 056011977

MARY TERESA SIDLES

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011977

License Status

INACTIVE

Business

N

First Name

MARY

Middle

TERESA

Last Name

SIDLES

Business Name

MARY TERESA SIDLES

Original Issue Date

04/19/2017

Effective Date

10/24/2017

Expiration Date

12/31/2019

State

KY

Ever Disciplined

N

LastModifiedDate

10/02/2019