TARA LYNN PIPPIN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006113

License Status

INACTIVE

Business

First Name

TARA

Middle

LYNN

Last Name

PIPPIN

Business Name

TARA LYNN PIPPIN

Original Issue Date

05/03/2001

Effective Date

02/20/2004

Expiration Date

12/31/2003

City

BURLINGTON

State

Zip

53105

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005