TRACY JEAN WHITESIDE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001622

License Status

NOT RENEWED

Business

First Name

TRACY JEAN

Last Name

WHITESIDE

Business Name

TRACY JEAN WHITESIDE

Original Issue Date

03/26/1998

Expiration Date

12/31/1999

City

ST PETERS

State

Zip

63376

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/28/2005