JASON ALLAN PATTENGALE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011334

License Status

NOT RENEWED

Business

First Name

JASON

Middle

ALLAN

Last Name

PATTENGALE

Business Name

JASON ALLAN PATTENGALE

Original Issue Date

01/06/2016

Effective Date

01/06/2016

Expiration Date

12/31/2017

City

UNION GROVE

State

Zip

53182

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/10/2018