TARA LYNN PIPPIN - Occupational Therapist License in Wisconsin | # 056006113

TARA LYNN PIPPIN

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006113

License Status

INACTIVE

Business

N

First Name

TARA

Middle

LYNN

Last Name

PIPPIN

Business Name

TARA LYNN PIPPIN

Original Issue Date

05/03/2001

Effective Date

02/20/2004

Expiration Date

12/31/2003

State

WI

Ever Disciplined

N

LastModifiedDate

09/11/2005