MARJORIE A SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001408

License Status

NOT RENEWED

Business

First Name

MARJORIE A

Last Name

SMITH

Business Name

MARJORIE A SMITH

Original Issue Date

01/13/1997

Effective Date

12/17/2013

Expiration Date

12/31/2015

City

HARDIN

State

Zip

62047

County

CALHOUN

Ever Disciplined

LastModifiedDate

06/13/2019