MADONNA S GRAHAM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001298

License Status

NOT RENEWED

Business

First Name

MADONNA S

Last Name

GRAHAM

Business Name

MADONNA S GRAHAM

Original Issue Date

05/24/1996

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

ST LOUIS

State

Zip

63125

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/04/2010