STEPHANIE CHRISTINE PURYEAR Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005739

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

CHRISTINE

Last Name

PURYEAR

Business Name

STEPHANIE CHRISTINE PURYEAR

Original Issue Date

05/17/2000

Effective Date

12/30/2013

Expiration Date

12/31/2015

City

WHITEFISH BAY

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016