MARY ALICE MACHISEN - Occupational Therapist License in Missouri | # 057001809

MARY ALICE MACHISEN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001809

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

ALICE

Last Name

MACHISEN

Business Name

MARY ALICE MACHISEN

Original Issue Date

11/09/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

State

MO

Ever Disciplined

N

LastModifiedDate

07/28/2005