GREGORY MARTIN BRACKER - Occupational Therapist License in Wisconsin | # 057002420

GREGORY MARTIN BRACKER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002420

License Status

NOT RENEWED

Business

N

First Name

GREGORY

Middle

MARTIN

Last Name

BRACKER

Business Name

GREGORY MARTIN BRACKER

Original Issue Date

05/15/2003

Effective Date

01/09/2004

Expiration Date

12/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

02/16/2006