STACY M SLATER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005968

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

SLATER

Business Name

STACY M SLATER

Original Issue Date

11/01/2000

Effective Date

02/03/2004

Expiration Date

12/31/2003

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005