GAYLENE HORSFALL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001493

License Status

NOT RENEWED

Business

First Name

GAYLENE

Last Name

HORSFALL

Business Name

GAYLENE HORSFALL

Original Issue Date

03/11/1986

Effective Date

11/12/2013

Expiration Date

12/31/2015

City

ABBOTSFORD

State

Zip

54405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016