MARY CATHERINE WHITESIDE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011742

License Status

NOT RENEWED

Business

First Name

MARY

Middle

CATHERINE

Last Name

WHITESIDE

Business Name

MARY CATHERINE WHITESIDE

Original Issue Date

10/26/2016

Effective Date

10/18/2017

Expiration Date

12/31/2019

City

BEND

State

Zip

97703

County

OREGON

Ever Disciplined

LastModifiedDate

03/05/2020