SHANNON LEE WEST Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003953

License Status

INACTIVE

Business

First Name

SHANNON LEE

Last Name

WEST

Business Name

SHANNON LEE WEST

Original Issue Date

03/07/1996

Effective Date

01/07/2004

Expiration Date

12/31/2005

City

BLOOMINGTON

State

Zip

47401

County

MONROE

Ever Disciplined

LastModifiedDate

10/25/2005