JANESE LONDON PETUCHOWSKI - Occupational Therapist License in Michigan | # 056007663

JANESE LONDON PETUCHOWSKI

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007663

License Status

NOT RENEWED

Business

N

First Name

JANESE

Middle

LONDON

Last Name

PETUCHOWSKI

Business Name

JANESE LONDON PETUCHOWSKI

Original Issue Date

02/14/2006

Effective Date

12/07/2015

Expiration Date

12/31/2017

State

MI

Ever Disciplined

N

LastModifiedDate

04/10/2018