JEAN M BACKES - Occupational Therapist License in Wisconsin | # 056001869

JEAN M BACKES

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001869

License Status

NOT RENEWED

Business

N

First Name

JEAN M

Last Name

BACKES

Business Name

JEAN M BACKES

Original Issue Date

10/17/1987

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

WI

Ever Disciplined

N

LastModifiedDate

09/11/2005