JEANENNE M DALLAS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007212

License Status

NOT RENEWED

Business

First Name

JEANENNE

Middle

Last Name

DALLAS

Business Name

JEANENNE M DALLAS

Original Issue Date

06/22/2004

Effective Date

10/15/2013

Expiration Date

12/31/2015

City

MAPLEWOOD

State

Zip

63143

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/08/2016