SHANNON E MCBROOM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006124

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

MCBROOM

Business Name

SHANNON E MCBROOM

Original Issue Date

05/04/2001

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

FENTON

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005