LAWRENCE E WILFONG Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000502

License Status

ACTIVE

Business

First Name

LAWRENCE E

Last Name

WILFONG

Business Name

LAWRENCE E WILFONG

Original Issue Date

03/22/1988

Effective Date

12/22/2025

Expiration Date

12/31/2027

City

ST LOUIS

State

Zip

63116

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/22/2025