MARY TERESA SIDLES Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011977

License Status

INACTIVE

Business

First Name

MARY

Middle

TERESA

Last Name

SIDLES

Business Name

MARY TERESA SIDLES

Original Issue Date

04/19/2017

Effective Date

10/24/2017

Expiration Date

12/31/2019

City

LOUISVILLE

State

Zip

40206

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/02/2019