TAMARA A DIETZEL - Occupational Therapist License in Wisconsin | # 057001158

TAMARA A DIETZEL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001158

License Status

NOT RENEWED

Business

N

First Name

TAMARA A

Last Name

DIETZEL

Business Name

TAMARA A DIETZEL

Original Issue Date

08/08/1995

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

WI

Ever Disciplined

N

LastModifiedDate

09/11/2005