STEPHANIE MARIE VIGEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004422

License Status

NOT RENEWED

Business

First Name

STEPHANIE MARIE

Last Name

VIGEN

Business Name

STEPHANIE MARIE VIGEN

Original Issue Date

05/03/1997

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005