JONATHAN M LUBAR-GOPEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004706

License Status

NOT RENEWED

Business

First Name

JONATHAN M

Last Name

LUBAR-GOPEN

Business Name

JONATHAN M LUBAR-GOPEN

Original Issue Date

12/10/1997

Expiration Date

12/31/1999

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005