CYNTHIA L MOEN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001443

License Status

INACTIVE

Business

First Name

CYNTHIA L

Last Name

MOEN

Business Name

CYNTHIA L MOEN

Original Issue Date

12/20/1985

Effective Date

02/20/2004

Expiration Date

12/31/2003

City

WAUNAKEE

State

Zip

53597

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005