COLLEEN MAE MUNGER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007354

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

MAE

Last Name

MUNGER

Business Name

COLLEEN MAE MUNGER

Original Issue Date

01/03/2005

Effective Date

12/23/2011

Expiration Date

12/31/2013

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/19/2014