PRISCILLA ANNE BALDERAS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006783

License Status

NOT RENEWED

Business

First Name

PRISCILLA

Middle

ANNE

Last Name

BALDERAS

Business Name

PRISCILLA ANNE BALDERAS

Original Issue Date

01/31/2003

Effective Date

05/29/2004

Expiration Date

12/31/2005

City

MILWAUKEE

State

Zip

53208

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/16/2006