ALEXIS MALAINA BLANK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007635

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

MALAINA

Last Name

BLANK

Business Name

ALEXIS MALAINA BLANK

Original Issue Date

12/12/2005

Effective Date

12/04/2017

Expiration Date

12/31/2019

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020