THERESA ANN RUDOLPH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010334

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

ANN

Last Name

RUDOLPH

Business Name

THERESA ANN RUDOLPH

Original Issue Date

10/08/2013

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

SAINT LOUIS

State

Zip

63101

Ever Disciplined

LastModifiedDate

03/05/2020