SUSAN J BAUMGARTH-WILLIAMS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000441

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

BAUMGARTH-WILLIAMS

Business Name

SUSAN J BAUMGARTH-WILLIAMS

Original Issue Date

04/03/1987

Effective Date

01/16/2018

Expiration Date

12/31/2019

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/05/2020