AMANDA MARIE FONNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011271

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

FONNER

Business Name

AMANDA MARIE FONNER

Original Issue Date

11/02/2015

Effective Date

11/02/2015

Expiration Date

12/31/2017

City

HOUSE SPRINGS

State

Zip

63051

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/10/2018