AMANDA J HARTMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011198

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

HARTMAN

Business Name

AMANDA J HARTMAN

Original Issue Date

09/16/2015

Effective Date

12/14/2017

Expiration Date

12/31/2019

City

KANSASVILLE

State

Zip

53139

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020