MARY KIMBERLEE BIRCHENOUGH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003087

License Status

INACTIVE

Business

First Name

MARY

Middle

KIMBERLEE

Last Name

BIRCHENOUGH

Business Name

MARY KIMBERLEE BIRCHENOUGH

Original Issue Date

04/01/2009

Effective Date

10/21/2011

Expiration Date

12/31/2013

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/04/2013