JESSICA LAURA WORTMAN - Occupational Therapist License in Wisconsin | # 056006602

JESSICA LAURA WORTMAN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006602

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

LAURA

Last Name

WORTMAN

Business Name

JESSICA LAURA WORTMAN

Original Issue Date

07/11/2002

Effective Date

10/13/2009

Expiration Date

12/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2012