License holder summary

Sample, Edith M is a Occupational Therapist licensed to practice in Missouri. The address on file for Sample, Edith M is 1058 WE Burntwood St , Springfield 65803. This licensed professional license is current. The license was granted 03/21/1994 and expired on 06/30/2015.

Missouri

Division of Professional Registration

Sample, Edith M
Occupational Therapist
License number
002548  
Date granted
03/21/1994
Date expires
06/30/2015
Class
Occupational Therapist
Status
Clear
Address
1058 WE Burntwood St 
licensingmissouri.org
ID 5140314
LAST UPDATED 2024-03-16 19:42:49 UTC

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