SUSAN W WITHEY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002722

License Status

INACTIVE

Business

First Name

SUSAN W

Last Name

WITHEY

Business Name

SUSAN W WITHEY

Original Issue Date

09/16/1991

Effective Date

11/12/2019

Expiration Date

12/31/2021

City

JANESVILLE

State

Zip

53546

Ever Disciplined

LastModifiedDate

12/31/2021