SHANON E GOODPASTURE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003717

License Status

NOT RENEWED

Business

First Name

SHANON E

Last Name

GOODPASTURE

Business Name

SHANON E GOODPASTURE

Original Issue Date

06/29/1995

Expiration Date

12/31/1995

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/28/2005