SAMUEL OTIENO MARIENGA - Occupational Therapist License in Missouri | # 056005290

SAMUEL OTIENO MARIENGA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005290

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

OTIENO

Last Name

MARIENGA

Business Name

SAMUEL OTIENO MARIENGA

Original Issue Date

04/06/1999

Effective Date

05/18/2000

Expiration Date

12/31/1999

State

MO

Ever Disciplined

N

LastModifiedDate

07/28/2005