DIANA W SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003009

License Status

NOT RENEWED

Business

First Name

DIANA W

Last Name

SMITH

Business Name

DIANA W SMITH

Original Issue Date

12/02/1992

Expiration Date

12/31/1995

City

ST LOUIS

State

Zip

63125

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/28/2005