ALITA JOLANDE DORN - Occupational Therapist License in Wisconsin | # 056004270

ALITA JOLANDE DORN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004270

License Status

NOT RENEWED

Business

N

First Name

ALITA JOLANDE

Last Name

DORN

Business Name

ALITA JOLANDE DORN

Original Issue Date

10/09/1996

Effective Date

12/21/2011

Expiration Date

12/31/2013

State

WI

Ever Disciplined

N

LastModifiedDate

02/19/2014