SUSAN MARIE STATON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001394

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

STATON

Business Name

SUSAN MARIE STATON

Original Issue Date

10/29/1996

Expiration Date

12/31/1999

City

ELLICOTT CITY

State

Zip

21043

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005