BECKY MARIE FENN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009781

License Status

NOT RENEWED

Business

First Name

BECKY

Middle

MARIE

Last Name

FENN

Business Name

BECKY MARIE FENN

Original Issue Date

07/10/2012

Effective Date

10/17/2013

Expiration Date

12/31/2015

City

PLATTEVILLE

State

Zip

53818

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016