KEVIN R BOUSE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004158

License Status

INACTIVE

Business

First Name

KEVIN R

Last Name

BOUSE

Business Name

KEVIN R BOUSE

Original Issue Date

09/11/1996

Effective Date

12/16/2009

Expiration Date

12/31/2011

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/05/2011