THERESA M BROWN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002262

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

BROWN

Business Name

THERESA M BROWN

Original Issue Date

09/21/1989

Effective Date

12/30/2003

Expiration Date

12/31/2005

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/16/2006