WENDY L BASTIAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001562

License Status

NOT RENEWED

Business

First Name

WENDY L

Last Name

BASTIAN

Business Name

WENDY L BASTIAN

Original Issue Date

09/03/1986

Effective Date

12/19/2019

Expiration Date

01/31/2022

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/18/2022