TRACEY MARIE SLY - Occupational Therapist License in Wisconsin | # 057000729

TRACEY MARIE SLY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000729

License Status

NOT RENEWED

Business

N

First Name

TRACEY MARIE

Last Name

SLY

Business Name

TRACEY MARIE SLY

Original Issue Date

03/09/1991

Effective Date

12/30/2019

Expiration Date

01/31/2022

State

WI

Ever Disciplined

N

LastModifiedDate

05/18/2022