License holder summary

Blackburn, Susan E is a Occupational Therapist licensed to practice in Missouri. The address on file for Blackburn, Susan E is 502 Peterson Lane , Ashland 65010. This licensed professional license is current. The license was granted 02/04/1999 and expired on 06/30/2015.

Missouri

Division of Professional Registration

Blackburn, Susan E
Occupational Therapist
License number
004635  
Date granted
02/04/1999
Date expires
06/30/2015
Class
Occupational Therapist
Status
Clear
Address
502 Peterson Lane 
licensingmissouri.org
ID 5129861
LAST UPDATED 2024-02-15 12:02:05 UTC

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