MATTHEW WALCZAK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013544

License Status

NOT RENEWED

Business

First Name

MATTHEW

Last Name

WALCZAK

Business Name

MATTHEW WALCZAK

Original Issue Date

03/19/2020

Effective Date

01/27/2022

Expiration Date

12/31/2023

City

MINNEAPOLIS

State

Zip

55408

Ever Disciplined

LastModifiedDate

03/28/2024