BETHANY JOY NIEUWENHUIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012011

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

JOY

Last Name

NIEUWENHUIS

Business Name

BETHANY JOY NIEUWENHUIS

Original Issue Date

06/02/2017

Effective Date

11/02/2017

Expiration Date

12/31/2019

City

MUKWONAGO

State

Zip

53149

Ever Disciplined

LastModifiedDate

03/05/2020