PAMELA J SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003165

License Status

NOT RENEWED

Business

First Name

PAMELA J

Last Name

SMITH

Business Name

PAMELA J SMITH

Original Issue Date

08/11/1993

Effective Date

12/24/2015

Expiration Date

12/31/2017

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

04/10/2018