MELISSA S PIQUETTE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007311

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

PIQUETTE

Business Name

MELISSA S PIQUETTE

Original Issue Date

11/03/2004

Effective Date

12/05/2013

Expiration Date

12/31/2015

City

MILWAUKEE

State

Zip

53207

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016