CARLA LOUISE DOUGLAS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006628

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

LOUISE

Last Name

DOUGLAS

Business Name

CARLA LOUISE DOUGLAS

Original Issue Date

08/15/2002

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

FENTON

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005