MISTY D MCINTOSH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004159

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

Last Name

MCINTOSH

Business Name

MISTY D MCINTOSH

Original Issue Date

10/30/2014

Effective Date

10/30/2014

Expiration Date

12/31/2015

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

02/08/2016