ELIZABETH MARIE THEIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013084

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

MARIE

Last Name

THEIS

Business Name

ELIZABETH MARIE THEIS

Original Issue Date

05/31/2019

Effective Date

01/02/2020

Expiration Date

01/31/2022

City

RANDOM LAKE

State

Zip

53075

Ever Disciplined

LastModifiedDate

05/18/2022