AMANDA MARIE FONNER - Occupational Therapist License in Missouri | # 056011271

AMANDA MARIE FONNER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011271

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

MARIE

Last Name

FONNER

Business Name

AMANDA MARIE FONNER

Original Issue Date

11/02/2015

Effective Date

11/02/2015

Expiration Date

12/31/2017

State

MO

Ever Disciplined

N

LastModifiedDate

04/10/2018