TIMOTHY D VERDOUW Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004189

License Status

NOT RENEWED

Business

First Name

TIMOTHY D

Last Name

VERDOUW

Business Name

TIMOTHY D VERDOUW

Original Issue Date

09/12/1996

Expiration Date

12/31/1997

City

DELAVAN

State

Zip

53115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005