SHANNON IRENE WEST Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010173

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

IRENE

Last Name

WEST

Business Name

SHANNON IRENE WEST

Original Issue Date

05/24/2013

Effective Date

10/10/2013

Expiration Date

12/31/2015

City

COEUR D ALENE

State

Zip

83814

County

IDAHO

Ever Disciplined

LastModifiedDate

02/08/2016