PATRICIA R FORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000139

License Status

NOT RENEWED

Business

First Name

PATRICIA R

Last Name

FORD

Business Name

PATRICIA R FORD

Original Issue Date

05/01/1984

Expiration Date

12/31/1985

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/28/2005