JANE E T WASURICK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005668

License Status

NOT RENEWED

Business

First Name

JANE E

Middle

Last Name

WASURICK

Business Name

JANE E T WASURICK

Original Issue Date

02/15/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/29/2005