TINA BURTARD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008862

License Status

NOT RENEWED

Business

First Name

TINA

Last Name

BURTARD

Business Name

TINA BURTARD

Original Issue Date

10/20/2009

Effective Date

10/20/2009

Expiration Date

12/31/2011

City

SHEBOYGAN

State

Zip

53081

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2012