AMY M GOTTFRIED Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002812

License Status

INACTIVE

Business

First Name

AMY M

Last Name

GOTTFRIED

Business Name

AMY M GOTTFRIED

Original Issue Date

03/06/1992

Expiration Date

12/31/1993

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005