HOLLY J GODFREY - Occupational Therapist License in Wisconsin | # 056002622

HOLLY J GODFREY

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002622

License Status

INACTIVE

Business

N

First Name

HOLLY J

Last Name

GODFREY

Business Name

HOLLY J GODFREY

Original Issue Date

06/19/1991

Expiration Date

12/31/1997

State

WI

Ever Disciplined

N

LastModifiedDate

07/28/2005