ELIZABETH ANN ELLIS - Occupational Therapist License in Wisconsin | # 056010167

ELIZABETH ANN ELLIS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010167

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

ANN

Last Name

ELLIS

Business Name

ELIZABETH ANN ELLIS

Original Issue Date

05/13/2013

Effective Date

10/06/2017

Expiration Date

12/31/2019

State

WI

Ever Disciplined

N

LastModifiedDate

03/05/2020