SUSAN MARY WISNIEWSKI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005533

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARY

Last Name

WISNIEWSKI

Business Name

SUSAN MARY WISNIEWSKI

Original Issue Date

11/05/1999

Effective Date

12/18/2013

Expiration Date

12/31/2015

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

02/08/2016