SUZANNE PERKET ERVIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002517

License Status

NOT RENEWED

Business

First Name

SUZANNE

Last Name

PERKET ERVIN

Business Name

SUZANNE PERKET ERVIN

Original Issue Date

02/01/1991

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

SPRINGFIELD

State

Zip

65804

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005