HOLLY ANN BJORGE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006807

License Status

INACTIVE

Business

First Name

HOLLY

Middle

ANN

Last Name

BJORGE

Business Name

HOLLY ANN BJORGE

Original Issue Date

04/01/2003

Effective Date

12/21/2015

Expiration Date

12/31/2017

City

CALEDONIA

State

Zip

53108

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/06/2017