ANDREW E GOTTHEARDT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006955

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

GOTTHEARDT

Business Name

ANDREW E GOTTHEARDT

Original Issue Date

08/22/2003

Effective Date

07/16/2010

Expiration Date

12/31/2011

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2012