MONICA ELAINE FORTH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014817

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

ELAINE

Last Name

FORTH

Business Name

MONICA ELAINE FORTH

Original Issue Date

03/11/2022

Effective Date

03/11/2022

Expiration Date

12/31/2023

City

SAINT LOUIS

State

Zip

63129

Ever Disciplined

LastModifiedDate

03/28/2024