JOSEPH FANTIN - Occupational Therapist License in Wisconsin | # 056006909

JOSEPH FANTIN

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006909

License Status

INACTIVE

Business

N

First Name

JOSEPH

Last Name

FANTIN

Business Name

JOSEPH FANTIN

Original Issue Date

06/24/2003

Effective Date

01/26/2004

Expiration Date

12/31/2003

State

WI

Ever Disciplined

N

LastModifiedDate

09/11/2005