MICHELE JEAN ELLINGSBERG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007758

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

JEAN

Last Name

ELLINGSBERG

Business Name

MICHELE JEAN ELLINGSBERG

Original Issue Date

04/27/2006

Effective Date

10/21/2015

Expiration Date

12/31/2017

City

EAGLE

State

Zip

53119

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/10/2018