SAMUEL LIVINGSTON STOUT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011073

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

LIVINGSTON

Last Name

STOUT

Business Name

SAMUEL LIVINGSTON STOUT

Original Issue Date

07/10/2015

Effective Date

07/10/2015

Expiration Date

12/31/2015

City

NEW ALBANY

State

Zip

47150

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016