RICHARD RAYMOND ZILLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008652

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

RAYMOND

Last Name

ZILLER

Business Name

RICHARD RAYMOND ZILLER

Original Issue Date

03/18/2009

Effective Date

10/21/2009

Expiration Date

12/31/2011

City

STURTEVANT

State

Zip

53177

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2012