TINA BURTARD - Occupational Therapist License in Wisconsin | # 056008862

TINA BURTARD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008862

License Status

NOT RENEWED

Business

N

First Name

TINA

Last Name

BURTARD

Business Name

TINA BURTARD

Original Issue Date

10/20/2009

Effective Date

10/20/2009

Expiration Date

12/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2012