TAMARA L BRUNNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007345

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

BRUNNER

Business Name

TAMARA L BRUNNER

Original Issue Date

12/23/2004

Effective Date

12/23/2004

Expiration Date

12/31/2005

City

NORTH PRAIRIE

State

Zip

53153

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/16/2006