PENNY LYNNE CHASTAIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002093

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

LYNNE

Last Name

CHASTAIN

Business Name

PENNY LYNNE CHASTAIN

Original Issue Date

11/01/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005