MAXWELL JAMES LUSTICK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012060

License Status

INACTIVE

Business

First Name

MAXWELL

Middle

JAMES

Last Name

LUSTICK

Business Name

MAXWELL JAMES LUSTICK

Original Issue Date

08/08/2017

Effective Date

08/08/2017

Expiration Date

12/31/2017

City

OLIVETTE

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/06/2017