AMY KATHRYN FORSYTH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006243

License Status

NOT RENEWED

Business

First Name

AMY

Middle

KATHRYN

Last Name

FORSYTH

Business Name

AMY KATHRYN FORSYTH

Original Issue Date

09/13/2001

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

WEST ALLIS

State

Zip

53214

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005