BILLIE DIANE BAUER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006424

License Status

INACTIVE

Business

First Name

BILLIE

Middle

DIANE

Last Name

BAUER

Business Name

BILLIE DIANE BAUER

Original Issue Date

03/07/2002

Effective Date

02/05/2004

Expiration Date

12/31/2003

City

HAWKS

State

Zip

49743

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/11/2005