CAROL MAE D ANDERSON - Occupational Therapist License in Wisconsin | # 057000024

CAROL MAE D ANDERSON

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000024

License Status

INACTIVE

Business

N

First Name

CAROL MAE D

Last Name

ANDERSON

Business Name

CAROL MAE D ANDERSON

Original Issue Date

05/16/1984

Effective Date

12/03/2003

Expiration Date

12/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/25/2005