SHIRLEY BELLINO FENTZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005665

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

BELLINO

Last Name

FENTZ

Business Name

SHIRLEY BELLINO FENTZ

Original Issue Date

02/08/2000

Effective Date

12/09/2013

Expiration Date

12/31/2015

City

FRANKSVILLE

State

Zip

53126

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016