SHAUNA L WALT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006440

License Status

NOT RENEWED

Business

First Name

SHAUNA

Middle

Last Name

WALT

Business Name

SHAUNA L WALT

Original Issue Date

04/05/2002

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

HIGH RIDGE

State

Zip

63049

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005