MARIA A DOMENICK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002750

License Status

NOT RENEWED

Business

First Name

MARIA A

Last Name

DOMENICK

Business Name

MARIA A DOMENICK

Original Issue Date

11/02/1991

Expiration Date

12/31/1993

City

ST LOUIS

State

Zip

63101

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/28/2005