MARITA LYNN VERHALEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011305

License Status

NOT RENEWED

Business

First Name

MARITA

Middle

LYNN

Last Name

VERHALEN

Business Name

MARITA LYNN VERHALEN

Original Issue Date

12/04/2015

Effective Date

12/30/2019

Expiration Date

01/31/2022

City

HELENVILLE

State

Zip

53137

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/18/2022