MARY FITZPATRICK PELEGRIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010240

License Status

NOT RENEWED

Business

First Name

MARY

Middle

FITZPATRICK

Last Name

PELEGRIN

Business Name

MARY FITZPATRICK PELEGRIN

Original Issue Date

08/06/2013

Effective Date

12/24/2015

Expiration Date

12/31/2017

City

GREEN BAY

State

Zip

54313

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/10/2018