SARA M FASE - Occupational Therapist License in Missouri | # 057004450

SARA M FASE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004450

License Status

NOT RENEWED

Business

N

First Name

SARA

Middle

M

Last Name

FASE

Business Name

SARA M FASE

Original Issue Date

02/22/2016

Effective Date

02/22/2016

Expiration Date

12/31/2017

State

MO

Ever Disciplined

N

LastModifiedDate

07/07/2025