SARA M FASE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004450

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

FASE

Business Name

SARA M FASE

Original Issue Date

02/22/2016

Effective Date

02/22/2016

Expiration Date

12/31/2017

City

BLUE SPRINGS

State

Zip

64014

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/07/2025