ELLEONORA E AVILES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004701

License Status

NOT RENEWED

Business

First Name

ELLEONORA E

Last Name

AVILES

Business Name

ELLEONORA E AVILES

Original Issue Date

12/06/1997

Effective Date

01/23/2004

Expiration Date

12/31/2005

City

WASHINGTON

State

Zip

63090

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/16/2006