PHILLIP GREGORY MITCHELL - Occupational Therapist License in Wisconsin | # 057003473

PHILLIP GREGORY MITCHELL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003473

License Status

NOT RENEWED

Business

N

First Name

PHILLIP

Middle

GREGORY

Last Name

MITCHELL

Business Name

PHILLIP GREGORY MITCHELL

Original Issue Date

10/05/2011

Effective Date

10/05/2011

Expiration Date

12/31/2013

State

WI

Ever Disciplined

N

LastModifiedDate

02/19/2014