MICHAEL J AMENT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007292

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

AMENT

Business Name

MICHAEL J AMENT

Original Issue Date

09/30/2004

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

WAUKESHA

State

Zip

53189

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/15/2008