LESLIE D CHITWOOD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002790

License Status

NOT RENEWED

Business

First Name

LESLIE D

Last Name

CHITWOOD

Business Name

LESLIE D CHITWOOD

Original Issue Date

03/06/1992

Expiration Date

12/31/1993

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/28/2005