MISTY DAWN DILLOW Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002364

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

DAWN

Last Name

DILLOW

Business Name

MISTY DAWN DILLOW

Original Issue Date

10/08/2002

Effective Date

01/02/2018

Expiration Date

12/31/2019

City

GRAND CHAIN

State

Zip

62941

County

PULASKI

Ever Disciplined

LastModifiedDate

03/05/2020