CHRISTINE M KLIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013229

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

KLIS

Business Name

CHRISTINE M KLIS

Original Issue Date

09/10/2019

Effective Date

11/25/2019

Expiration Date

01/31/2022

City

WAUKESHA

State

Zip

53189

Ever Disciplined

LastModifiedDate

05/18/2022