STEPHANIE ANN WHITLEY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008304

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

WHITLEY

Business Name

STEPHANIE ANN WHITLEY

Original Issue Date

03/28/2008

Effective Date

03/28/2008

Expiration Date

12/31/2009

City

MENASHA

State

Zip

54952

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/02/2009