TIMOTHY D VERDOUW - Occupational Therapist License in Wisconsin | # 056004189

TIMOTHY D VERDOUW

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004189

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY D

Last Name

VERDOUW

Business Name

TIMOTHY D VERDOUW

Original Issue Date

09/12/1996

Expiration Date

12/31/1997

State

WI

Ever Disciplined

N

LastModifiedDate

07/28/2005