KIM M CUCULI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006429

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

CUCULI

Business Name

KIM M CUCULI

Original Issue Date

03/11/2002

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/04/2010