JUAN JOSE MACIAS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005312

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

JOSE

Last Name

MACIAS

Business Name

JUAN JOSE MACIAS

Original Issue Date

05/07/1999

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

MILWAUKEE

State

Zip

53215

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005