KARLA DENISE KELLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008896

License Status

NOT RENEWED

Business

First Name

KARLA

Middle

DENISE

Last Name

KELLER

Business Name

KARLA DENISE KELLER

Original Issue Date

11/24/2009

Effective Date

11/24/2009

Expiration Date

12/31/2011

City

EDGERTON

State

Zip

53534

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2012