JENNIFER NICOLE EVANS - Occupational Therapist License in Wisconsin | # 056011634

JENNIFER NICOLE EVANS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011634

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

NICOLE

Last Name

EVANS

Business Name

JENNIFER NICOLE EVANS

Original Issue Date

08/25/2016

Effective Date

08/25/2016

Expiration Date

12/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

04/10/2018