CHRISTINE M WIETLISBACH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002366

License Status

INACTIVE

Business

First Name

CHRISTINE M

Last Name

WIETLISBACH

Business Name

CHRISTINE M WIETLISBACH

Original Issue Date

04/19/1990

Expiration Date

12/31/1991

City

THOUSAND PINES

State

Zip

92276

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/28/2005