ELIZABETH MARY LEONA TERRY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004118

License Status

INACTIVE

Business

First Name

ELIZABETH

Middle

MARY LEONA

Last Name

TERRY

Business Name

ELIZABETH MARY LEONA TERRY

Original Issue Date

08/26/2014

Effective Date

10/04/2019

Expiration Date

12/31/2021

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/04/2019