MARY L HAASE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002071

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

HAASE

Business Name

MARY L HAASE

Original Issue Date

10/12/1988

Expiration Date

12/31/1991

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005