MICHAEL W SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004389

License Status

NOT RENEWED

Business

First Name

MICHAEL W

Last Name

SMITH

Business Name

MICHAEL W SMITH

Original Issue Date

05/03/1997

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

09/11/2005