SAMUEL OTIENO MARIENGA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005290

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

OTIENO

Last Name

MARIENGA

Business Name

SAMUEL OTIENO MARIENGA

Original Issue Date

04/06/1999

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

ST LOUIS

State

Zip

63139

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/28/2005