MICHELLE M BETH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007580

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

BETH

Business Name

MICHELLE M BETH

Original Issue Date

10/14/2005

Effective Date

10/14/2005

Expiration Date

12/31/2007

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/15/2008