HOLLY J GODFREY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002622

License Status

INACTIVE

Business

First Name

HOLLY J

Last Name

GODFREY

Business Name

HOLLY J GODFREY

Original Issue Date

06/19/1991

Expiration Date

12/31/1997

City

MANITOWOC

State

Zip

54220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005