DONNA LORELEI BURKS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004899

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

LORELEI

Last Name

BURKS

Business Name

DONNA LORELEI BURKS

Original Issue Date

02/22/2018

Effective Date

12/31/2021

Expiration Date

12/31/2023

City

SPRINGFIELD

State

Zip

65803

Ever Disciplined

LastModifiedDate

03/28/2024