KRISTIE M RUSSETT - Occupational Therapist License in Wisconsin | # 057000447

KRISTIE M RUSSETT

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000447

License Status

INACTIVE

Business

N

First Name

KRISTIE

Middle

M

Last Name

RUSSETT

Business Name

KRISTIE M RUSSETT

Original Issue Date

06/29/1987

Expiration Date

12/31/1997

State

WI

Ever Disciplined

N

LastModifiedDate

07/28/2005