MARY LOUISE SHATTUCK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002043

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LOUISE

Last Name

SHATTUCK

Business Name

MARY LOUISE SHATTUCK

Original Issue Date

05/18/2000

Effective Date

12/28/2021

Expiration Date

12/31/2023

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

03/28/2024