MARY JO WHITE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003423

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

WHITE

Business Name

MARY JO WHITE

Original Issue Date

06/20/1994

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005