AMIE L SUTHEIMER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004707

License Status

INACTIVE

Business

First Name

AMIE L

Last Name

SUTHEIMER

Business Name

AMIE L SUTHEIMER

Original Issue Date

12/10/1997

Effective Date

01/26/2004

Expiration Date

12/31/2003

City

MUKWONAGO

State

Zip

53027

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005