SUSAN RENE JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008771

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

RENE

Last Name

JOHNSON

Business Name

SUSAN RENE JOHNSON

Original Issue Date

08/24/2009

Effective Date

10/02/2009

Expiration Date

12/31/2011

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/08/2012