AMY MICHELLE SPELLMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005581

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MICHELLE

Last Name

SPELLMAN

Business Name

AMY MICHELLE SPELLMAN

Original Issue Date

11/05/1999

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005