ERIC C BLANKENHEIM - Occupational Therapist License in Wisconsin | # 056002082

ERIC C BLANKENHEIM

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002082

License Status

INACTIVE

Business

N

First Name

ERIC C

Last Name

BLANKENHEIM

Business Name

ERIC C BLANKENHEIM

Original Issue Date

11/23/1988

Expiration Date

12/31/1993

State

WI

Ever Disciplined

N

LastModifiedDate

07/28/2005