KRISTEL ROSE KOEBBEKE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009588

License Status

NOT RENEWED

Business

First Name

KRISTEL

Middle

ROSE

Last Name

KOEBBEKE

Business Name

KRISTEL ROSE KOEBBEKE

Original Issue Date

11/30/2011

Effective Date

01/08/2014

Expiration Date

12/31/2015

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016