MARNEE RAE FORBORT - Occupational Therapist License in Missouri | # 057001411

MARNEE RAE FORBORT

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001411

License Status

NOT RENEWED

Business

N

First Name

MARNEE RAE

Last Name

FORBORT

Business Name

MARNEE RAE FORBORT

Original Issue Date

03/05/1997

Expiration Date

12/31/1999

State

MO

Ever Disciplined

N

LastModifiedDate

07/28/2005