LAURIE PETRIE KAMPA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001625

License Status

INACTIVE

Business

First Name

LAURIE PETRIE

Last Name

KAMPA

Business Name

LAURIE PETRIE KAMPA

Original Issue Date

10/03/1986

Expiration Date

12/31/1987

City

NEW GLARUS

State

Zip

53574

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005