JASON ALLAN PATTENGALE - Occupational Therapist License in Wisconsin | # 056011334

JASON ALLAN PATTENGALE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011334

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

ALLAN

Last Name

PATTENGALE

Business Name

JASON ALLAN PATTENGALE

Original Issue Date

01/06/2016

Effective Date

01/06/2016

Expiration Date

12/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

04/10/2018