GAIL E WILDERMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004782

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

Last Name

WILDERMAN

Business Name

GAIL E WILDERMAN

Original Issue Date

04/08/1998

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

ATLANTA

State

Zip

30319

County

GEORGIA

Ever Disciplined

LastModifiedDate

02/04/2010