DIANNE M HENDRICKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004048

License Status

NOT RENEWED

Business

First Name

DIANNE M

Last Name

HENDRICKSON

Business Name

DIANNE M HENDRICKSON

Original Issue Date

04/24/1996

Effective Date

12/24/2019

Expiration Date

01/31/2022

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/18/2022