SHANNON RENEE DOLPHIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006737

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

RENEE

Last Name

DOLPHIN

Business Name

SHANNON RENEE DOLPHIN

Original Issue Date

11/25/2002

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

LODI

State

Zip

53555

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/15/2008