JOSEPH FANTIN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006909

License Status

INACTIVE

Business

First Name

JOSEPH

Last Name

FANTIN

Business Name

JOSEPH FANTIN

Original Issue Date

06/24/2003

Effective Date

01/26/2004

Expiration Date

12/31/2003

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005