HEATHER DAWN STORY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002864

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

DAWN

Last Name

STORY

Business Name

HEATHER DAWN STORY

Original Issue Date

08/16/2007

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

02/04/2010