MARY C GAVIN - Occupational Therapist License in Wisconsin | # 056001503

MARY C GAVIN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001503

License Status

NOT RENEWED

Business

N

First Name

MARY C

Last Name

GAVIN

Business Name

MARY C GAVIN

Original Issue Date

03/12/1986

Effective Date

01/06/2004

Expiration Date

12/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

02/16/2006