MICHAEL EUGENE SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005167

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

EUGENE

Last Name

SMITH

Business Name

MICHAEL EUGENE SMITH

Original Issue Date

11/13/1998

Effective Date

01/02/2020

Expiration Date

01/31/2022

City

WENTZVILLE

State

Zip

63385

Ever Disciplined

LastModifiedDate

05/18/2022