TRISTAN A HICKS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011388

License Status

NOT RENEWED

Business

First Name

TRISTAN

Middle

Last Name

HICKS

Business Name

TRISTAN A HICKS

Original Issue Date

02/22/2016

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

SAINT LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/05/2020