KATHY R WICKSTROM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004420

License Status

NOT RENEWED

Business

First Name

KATHY R

Last Name

WICKSTROM

Business Name

KATHY R WICKSTROM

Original Issue Date

05/03/1997

Expiration Date

12/31/1997

City

WISCONSIN RAPIDS

State

Zip

54494

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005