LYNN E THIELE-KHANUJA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002888

License Status

INACTIVE

Business

First Name

LYNN

Middle

Last Name

THIELE-KHANUJA

Business Name

LYNN E THIELE-KHANUJA

Original Issue Date

08/27/1992

Effective Date

02/05/2004

Expiration Date

12/31/2003

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005