THERESA JEAN ANDERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010765

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

JEAN

Last Name

ANDERSON

Business Name

THERESA JEAN ANDERSON

Original Issue Date

09/29/2014

Effective Date

09/29/2014

Expiration Date

12/31/2015

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016