MAXWELL JAMES LUSTICK - Occupational Therapist License in Missouri | # 056012060

MAXWELL JAMES LUSTICK

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012060

License Status

INACTIVE

Business

N

First Name

MAXWELL

Middle

JAMES

Last Name

LUSTICK

Business Name

MAXWELL JAMES LUSTICK

Original Issue Date

08/08/2017

Effective Date

08/08/2017

Expiration Date

12/31/2017

State

MO

Ever Disciplined

N

LastModifiedDate

10/06/2017