STEPHANIE D MENENDEZ Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003787

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

MENENDEZ

Business Name

STEPHANIE D MENENDEZ

Original Issue Date

09/18/1995

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

FAIRVIEW HTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/10/2007