TRACIE S QUIST Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003573

License Status

NOT RENEWED

Business

First Name

TRACIE S

Last Name

QUIST

Business Name

TRACIE S QUIST

Original Issue Date

12/09/1994

Expiration Date

12/31/1997

City

WAUWATOSA

State

Zip

53225

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005