CAROL MAE D ANDERSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000024

License Status

INACTIVE

Business

First Name

CAROL MAE D

Last Name

ANDERSON

Business Name

CAROL MAE D ANDERSON

Original Issue Date

05/16/1984

Effective Date

12/03/2003

Expiration Date

12/31/2005

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/25/2005