MIMI MARY SHAW Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004543

License Status

INACTIVE

Business

First Name

MIMI MARY

Last Name

SHAW

Business Name

MIMI MARY SHAW

Original Issue Date

09/12/1997

Expiration Date

12/31/1999

City

TULSA

State

Zip

74114

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

07/28/2005