LONNIE LUCILE STAFFORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001064

License Status

NOT RENEWED

Business

First Name

LONNIE LUCILE

Last Name

STAFFORD

Business Name

LONNIE LUCILE STAFFORD

Original Issue Date

11/03/1994

Expiration Date

12/31/1999

City

METROPOLIS

State

Zip

62960

County

JOHNSON

Ever Disciplined

LastModifiedDate

07/28/2005