THERESA M WATERBURY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003733

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

WATERBURY

Business Name

THERESA M WATERBURY

Original Issue Date

07/26/1995

Expiration Date

12/31/1997

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005