MARY ALICE MACHISEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001809

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ALICE

Last Name

MACHISEN

Business Name

MARY ALICE MACHISEN

Original Issue Date

11/09/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

ST LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/28/2005