ERIC C BLANKENHEIM Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002082

License Status

INACTIVE

Business

First Name

ERIC C

Last Name

BLANKENHEIM

Business Name

ERIC C BLANKENHEIM

Original Issue Date

11/23/1988

Expiration Date

12/31/1993

City

APPLETON

State

Zip

54914

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005