JESSICA LAURA WORTMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006602

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LAURA

Last Name

WORTMAN

Business Name

JESSICA LAURA WORTMAN

Original Issue Date

07/11/2002

Effective Date

10/13/2009

Expiration Date

12/31/2011

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2012