NANCY L BASTIEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003173

License Status

NOT RENEWED

Business

First Name

NANCY L

Last Name

BASTIEN

Business Name

NANCY L BASTIEN

Original Issue Date

09/11/1993

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

HARTLAND

State

Zip

53029

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005