PAMELA SUE SPECKBROCK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004995

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

SUE

Last Name

SPECKBROCK

Business Name

PAMELA SUE SPECKBROCK

Original Issue Date

09/15/1998

Effective Date

06/01/2006

Expiration Date

12/31/2007

City

MONONA

State

Zip

53716

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/15/2008