LARA JANELLE DAMICO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011500

License Status

NOT RENEWED

Business

First Name

LARA

Middle

JANELLE

Last Name

DAMICO

Business Name

LARA JANELLE DAMICO

Original Issue Date

04/07/2016

Effective Date

04/07/2016

Expiration Date

12/31/2017

City

WAUWATOSA

State

Zip

53222

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/10/2018