SHELLEY R BURGET Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002663

License Status

NOT RENEWED

Business

First Name

SHELLEY R

Last Name

BURGET

Business Name

SHELLEY R BURGET

Original Issue Date

09/11/1991

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

07/28/2005