MELISSA S PIQUETTE - Occupational Therapist License in Wisconsin | # 056007311

MELISSA S PIQUETTE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007311

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

S

Last Name

PIQUETTE

Business Name

MELISSA S PIQUETTE

Original Issue Date

11/03/2004

Effective Date

12/05/2013

Expiration Date

12/31/2015

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2016