TAMARA L BRUNNER - Occupational Therapist License in Wisconsin | # 056007345

TAMARA L BRUNNER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007345

License Status

NOT RENEWED

Business

N

First Name

TAMARA

Middle

L

Last Name

BRUNNER

Business Name

TAMARA L BRUNNER

Original Issue Date

12/23/2004

Effective Date

12/23/2004

Expiration Date

12/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

02/16/2006