MICHELLE ANNETTE BOATMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008110

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANNETTE

Last Name

BOATMAN

Business Name

MICHELLE ANNETTE BOATMAN

Original Issue Date

08/15/2007

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

KAHOKA

State

Zip

63445

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/04/2010