MADALYN AZELLE POTTERFIELD - Occupational Therapist License in Missouri | # 057005150

MADALYN AZELLE POTTERFIELD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005150

License Status

NOT RENEWED

Business

N

First Name

MADALYN

Middle

AZELLE

Last Name

POTTERFIELD

Business Name

MADALYN AZELLE POTTERFIELD

Original Issue Date

03/08/2019

Effective Date

12/24/2021

Expiration Date

12/31/2023

State

MO

Ever Disciplined

N

LastModifiedDate

03/28/2024