DANA HOLADAY WASHBURN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005143

License Status

INACTIVE

Business

First Name

DANA

Middle

HOLADAY

Last Name

WASHBURN

Business Name

DANA HOLADAY WASHBURN

Original Issue Date

11/12/1998

Effective Date

01/26/2004

Expiration Date

12/31/2003

City

MILWAUKEE

State

Zip

53219

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005