PENELOPE WALK HARTLEY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001929

License Status

INACTIVE

Business

First Name

PENELOPE

Middle

WALK

Last Name

HARTLEY

Business Name

PENELOPE WALK HARTLEY

Original Issue Date

10/04/1999

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

MANCHESTER

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/10/2007