KRISTEL ROSE KOEBBEKE - Occupational Therapist License in Wisconsin | # 056009588

KRISTEL ROSE KOEBBEKE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009588

License Status

NOT RENEWED

Business

N

First Name

KRISTEL

Middle

ROSE

Last Name

KOEBBEKE

Business Name

KRISTEL ROSE KOEBBEKE

Original Issue Date

11/30/2011

Effective Date

01/08/2014

Expiration Date

12/31/2015

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2016