BENNET J PETERSEN - Occupational Therapist License in Wisconsin | # 056013645

BENNET J PETERSEN

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013645

License Status

INACTIVE

Business

N

First Name

BENNET

Middle

J

Last Name

PETERSEN

Business Name

BENNET J PETERSEN

Original Issue Date

06/02/2020

Effective Date

06/02/2020

Expiration Date

12/31/2021

State

WI

Ever Disciplined

N

LastModifiedDate

11/20/2021