SHAUNA JANE STEPHENS MCCOLLUM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010829

License Status

NOT RENEWED

Business

First Name

SHAUNA

Middle

JANE

Last Name

STEPHENS MCCOLLUM

Business Name

SHAUNA JANE STEPHENS MCCOLLUM

Original Issue Date

11/10/2014

Effective Date

12/27/2017

Expiration Date

12/31/2019

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

03/05/2020