BRIDGET MARY HORMBERG Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011924

License Status

INACTIVE

Business

First Name

BRIDGET

Middle

MARY

Last Name

HORMBERG

Business Name

BRIDGET MARY HORMBERG

Original Issue Date

03/23/2017

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

SAINT LOUIS

State

Zip

63117

Ever Disciplined

LastModifiedDate

10/02/2019