TONYA FAYE BURGESS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001921

License Status

NOT RENEWED

Business

First Name

TONYA

Middle

FAYE

Last Name

BURGESS

Business Name

TONYA FAYE BURGESS

Original Issue Date

08/05/1999

Effective Date

12/19/2003

Expiration Date

12/31/2005

City

FESTUS

State

Zip

63028

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/25/2014