STEVEN KISH JR Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004469

License Status

INACTIVE

Business

First Name

STEVEN

Last Name

KISH JR

Business Name

STEVEN KISH JR

Original Issue Date

05/13/1997

Effective Date

12/01/2003

Expiration Date

12/31/2005

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/25/2005