PAYAL B PATEL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009549

License Status

NOT RENEWED

Business

First Name

PAYAL

Middle

Last Name

PATEL

Business Name

PAYAL B PATEL

Original Issue Date

10/13/2011

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

RACINE

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020