TIANA L BOETCHER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006718

License Status

NOT RENEWED

Business

First Name

TIANA

Middle

Last Name

BOETCHER

Business Name

TIANA L BOETCHER

Original Issue Date

10/28/2002

Effective Date

01/06/2004

Expiration Date

12/31/2005

City

CATO

State

Zip

54230

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/16/2006