JENNIFER ROSE KUBICEK - Occupational Therapist License in Wisconsin | # 057003597

JENNIFER ROSE KUBICEK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003597

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

ROSE

Last Name

KUBICEK

Business Name

JENNIFER ROSE KUBICEK

Original Issue Date

07/12/2012

Effective Date

11/04/2013

Expiration Date

12/31/2015

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2016