THERESA A CHARLEVILLE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001323

License Status

NOT RENEWED

Business

First Name

THERESA A

Last Name

CHARLEVILLE

Business Name

THERESA A CHARLEVILLE

Original Issue Date

07/22/1985

Effective Date

10/02/2019

Expiration Date

01/31/2022

City

ST CHARLES

State

Zip

63301

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/18/2022