MICHAEL A FALLWELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001966

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

FALLWELL

Business Name

MICHAEL A FALLWELL

Original Issue Date

06/22/1988

Effective Date

12/13/2017

Expiration Date

12/31/2019

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/05/2020