KATHLEEN MILLER BOERTMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012093

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MILLER

Last Name

BOERTMAN

Business Name

KATHLEEN MILLER BOERTMAN

Original Issue Date

09/06/2017

Effective Date

10/04/2019

Expiration Date

01/31/2022

City

MUKWONAGO

State

Zip

53149

Ever Disciplined

LastModifiedDate

05/18/2022