BRIAN DAVID WOMACK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014297

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DAVID

Last Name

WOMACK

Business Name

BRIAN DAVID WOMACK

Original Issue Date

07/21/2021

Effective Date

11/30/2021

Expiration Date

12/31/2023

City

SAINT LOUIS

State

Zip

63125

Ever Disciplined

LastModifiedDate

03/28/2024