License holder summary

Waller, Shelley M is a Occupational Therapist licensed to practice in Missouri. The address on file for Waller, Shelley M is 5812 Mango Drive  63129. This licensed professional license is current. The license was granted 02/04/1999 and expired on 06/30/2015.

Missouri

Division of Professional Registration

Waller, Shelley M
Occupational Therapist
License number
004682  
Date granted
02/04/1999
Date expires
06/30/2015
Class
Occupational Therapist
Status
Clear
Address
5812 Mango Drive 
licensingmissouri.org
ID 5143016
LAST UPDATED 2026-06-01 04:34:54 UTC

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