SUSAN M LACROIX Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002759

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

LACROIX

Business Name

SUSAN M LACROIX

Original Issue Date

11/23/1991

Effective Date

12/21/2017

Expiration Date

12/31/2019

City

GREEN LAKE

State

Zip

54941

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020