LAURA ANN TULLOCK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005958

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ANN

Last Name

TULLOCK

Business Name

LAURA ANN TULLOCK

Original Issue Date

11/01/2000

Effective Date

12/10/2013

Expiration Date

12/31/2015

City

MOKANE

State

Zip

65059

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/08/2016