CARLA JOHANNA CORREA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011329

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

JOHANNA

Last Name

CORREA

Business Name

CARLA JOHANNA CORREA

Original Issue Date

01/05/2016

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020