RANDAL GENE BOSI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006188

License Status

NOT RENEWED

Business

First Name

RANDAL

Middle

GENE

Last Name

BOSI

Business Name

RANDAL GENE BOSI

Original Issue Date

05/23/2001

Effective Date

09/20/2004

Expiration Date

12/31/2005

City

GREEN BAY

State

Zip

54313

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/16/2006