DALE ROGER JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004621

License Status

NOT RENEWED

Business

First Name

DALE ROGER

Last Name

JOHNSON

Business Name

DALE ROGER JOHNSON

Original Issue Date

11/12/1997

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

LAKE ST LOUIS

State

Zip

63367

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005