ANN MARIE ZIETLOW - Occupational Therapist License in Wisconsin | # 056005530

ANN MARIE ZIETLOW

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005530

License Status

INACTIVE

Business

N

First Name

ANN

Middle

MARIE

Last Name

ZIETLOW

Business Name

ANN MARIE ZIETLOW

Original Issue Date

11/05/1999

Effective Date

01/06/2004

Expiration Date

12/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/25/2005