ANDREW E GOTTHEARDT - Occupational Therapist License in Wisconsin | # 056006955

ANDREW E GOTTHEARDT

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006955

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

E

Last Name

GOTTHEARDT

Business Name

ANDREW E GOTTHEARDT

Original Issue Date

08/22/2003

Effective Date

07/16/2010

Expiration Date

12/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2012