MICHELLE RENEE SMYTH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009237

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

RENEE

Last Name

SMYTH

Business Name

MICHELLE RENEE SMYTH

Original Issue Date

12/07/2010

Effective Date

12/07/2010

Expiration Date

12/31/2011

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

02/08/2012