SUSAN A ROSA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002502

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

ROSA

Business Name

SUSAN A ROSA

Original Issue Date

10/19/1990

Expiration Date

12/31/1991

City

MADISON

State

Zip

53713

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005