BROOKE VAN DOREN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012802

License Status

NOT RENEWED

Business

First Name

BROOKE

Last Name

VAN DOREN

Business Name

BROOKE VAN DOREN

Original Issue Date

12/11/2018

Effective Date

12/11/2018

Expiration Date

12/31/2019

City

O FALLON

State

Zip

63368

Ever Disciplined

LastModifiedDate

03/05/2020