STEPHANIE F RIVARD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007659

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

RIVARD

Business Name

STEPHANIE F RIVARD

Original Issue Date

02/03/2006

Effective Date

02/03/2006

Expiration Date

12/31/2007

City

GREEN BAY

State

Zip

54304

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/15/2008