LAURA DIANE PAPUGA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001965

License Status

INACTIVE

Business

First Name

LAURA

Middle

DIANE

Last Name

PAPUGA

Business Name

LAURA DIANE PAPUGA

Original Issue Date

11/05/1999

Effective Date

12/28/2011

Expiration Date

12/31/2013

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/04/2013