MARY E WANTA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002012

License Status

ACTIVE

Business

First Name

MARY E

Last Name

WANTA

Business Name

MARY E WANTA

Original Issue Date

09/10/1988

Effective Date

12/15/2025

Expiration Date

12/31/2027

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/15/2025