KRISTIN G ELLINGBOE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006606

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

ELLINGBOE

Business Name

KRISTIN G ELLINGBOE

Original Issue Date

07/22/2002

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

NEW BERLIN

State

Zip

53151

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005