CANDY EILEEN GAJ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006486

License Status

NOT RENEWED

Business

First Name

CANDY

Middle

EILEEN

Last Name

GAJ

Business Name

CANDY EILEEN GAJ

Original Issue Date

04/08/2002

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005