TRACY JULIA SKAFF Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005314

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

JULIA

Last Name

SKAFF

Business Name

TRACY JULIA SKAFF

Original Issue Date

05/07/1999

Effective Date

01/09/2004

Expiration Date

12/31/2005

City

GREEN BAY

State

Zip

54311

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/16/2006