BETH A FREISLEBEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008220

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

FREISLEBEN

Business Name

BETH A FREISLEBEN

Original Issue Date

11/30/2007

Effective Date

10/07/2009

Expiration Date

12/31/2011

City

PEWAUKEE

State

Zip

53072

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2012