MELANIE P PURVIANCE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000582

License Status

INACTIVE

Business

First Name

MELANIE P

Last Name

PURVIANCE

Business Name

MELANIE P PURVIANCE

Original Issue Date

06/19/1984

Effective Date

11/21/2003

Expiration Date

12/31/2005

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

10/25/2005