DIANE M BAKER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000371

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

BAKER

Business Name

DIANE M BAKER

Original Issue Date

06/11/1984

Expiration Date

12/31/1985

City

APPLETON

State

Zip

54915

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005