DIANE ELIZABETH KILLEN - Occupational Therapist License in Wisconsin | # 056012268

DIANE ELIZABETH KILLEN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012268

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

ELIZABETH

Last Name

KILLEN

Business Name

DIANE ELIZABETH KILLEN

Original Issue Date

11/21/2017

Effective Date

12/18/2021

Expiration Date

12/31/2023

State

WI

Ever Disciplined

N

LastModifiedDate

03/28/2024