SHANE DAVID FRASHER - Occupational Therapist License in Wisconsin | # 057001994

SHANE DAVID FRASHER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001994

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

DAVID

Last Name

FRASHER

Business Name

SHANE DAVID FRASHER

Original Issue Date

03/29/2000

Effective Date

02/27/2002

Expiration Date

12/31/2001

State

WI

Ever Disciplined

N

LastModifiedDate

09/11/2005