SARAH JO DETERVILLE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004875

License Status

NOT RENEWED

Business

First Name

SARAH JO

Last Name

DETERVILLE

Business Name

SARAH JO DETERVILLE

Original Issue Date

05/07/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

GREEN BAY

State

Zip

54301

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005