KATHLEEN KAY FALK - Occupational Therapist License in Wisconsin | # 057002072

KATHLEEN KAY FALK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002072

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN

Middle

KAY

Last Name

FALK

Business Name

KATHLEEN KAY FALK

Original Issue Date

07/06/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

WI

Ever Disciplined

N

LastModifiedDate

09/11/2005