CYNTHIA M WELLEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002823

License Status

NOT RENEWED

Business

First Name

CYNTHIA M

Last Name

WELLEN

Business Name

CYNTHIA M WELLEN

Original Issue Date

07/22/1992

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005