KATHRYN H FORTENBERRY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012040

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

Last Name

FORTENBERRY

Business Name

KATHRYN H FORTENBERRY

Original Issue Date

07/19/2017

Effective Date

07/19/2017

Expiration Date

12/31/2017

City

ARNOLD

State

Zip

63010

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/10/2018