ANN M GIRARD Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000292

License Status

INACTIVE

Business

First Name

ANN M

Last Name

GIRARD

Business Name

ANN M GIRARD

Original Issue Date

12/17/1984

Effective Date

02/20/2004

Expiration Date

12/31/2003

City

APPLETON

State

Zip

54914

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005