EDGAR SAMUEL SMITH - Occupational Therapist License in Missouri | # 057003016

EDGAR SAMUEL SMITH

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003016

License Status

INACTIVE

Business

N

First Name

EDGAR

Middle

SAMUEL

Last Name

SMITH

Business Name

EDGAR SAMUEL SMITH

Original Issue Date

08/19/2008

Effective Date

08/19/2008

Expiration Date

12/31/2009

State

MO

Ever Disciplined

N

LastModifiedDate

10/02/2009