SHIRLEY VIRGINIA SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002065

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

VIRGINIA

Last Name

SMITH

Business Name

SHIRLEY VIRGINIA SMITH

Original Issue Date

05/24/2000

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005