ANN MARIE ZIETLOW Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005530

License Status

INACTIVE

Business

First Name

ANN

Middle

MARIE

Last Name

ZIETLOW

Business Name

ANN MARIE ZIETLOW

Original Issue Date

11/05/1999

Effective Date

01/06/2004

Expiration Date

12/31/2005

City

MADISON

State

Zip

53717

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/25/2005