SUSAN I FULTS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003344

License Status

NOT RENEWED

Business

First Name

SUSAN I

Last Name

FULTS

Business Name

SUSAN I FULTS

Original Issue Date

03/17/1994

Expiration Date

12/31/1995

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/28/2005