SARAH JO DETERVILLE - Occupational Therapist License in Wisconsin | # 056004875

SARAH JO DETERVILLE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004875

License Status

NOT RENEWED

Business

N

First Name

SARAH JO

Last Name

DETERVILLE

Business Name

SARAH JO DETERVILLE

Original Issue Date

05/07/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

State

WI

Ever Disciplined

N

LastModifiedDate

07/28/2005