SANDRA L MERTEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000075

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

MERTEN

Business Name

SANDRA L MERTEN

Original Issue Date

04/12/1984

Effective Date

12/08/2015

Expiration Date

12/31/2017

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/10/2018