MARCIEL M SELBY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005490

License Status

NOT RENEWED

Business

First Name

MARCIEL

Middle

Last Name

SELBY

Business Name

MARCIEL M SELBY

Original Issue Date

09/24/1999

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020