MICHELE KIMBERLEE MOORE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009055

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

KIMBERLEE

Last Name

MOORE

Business Name

MICHELE KIMBERLEE MOORE

Original Issue Date

06/16/2010

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020