CYNTHIA RENEE BALLENTINE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007355

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

RENEE

Last Name

BALLENTINE

Business Name

CYNTHIA RENEE BALLENTINE

Original Issue Date

01/03/2005

Effective Date

10/02/2009

Expiration Date

12/31/2011

City

BALLWIN

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/08/2012