KRISTIE M RUSSETT Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000447

License Status

INACTIVE

Business

First Name

KRISTIE

Middle

Last Name

RUSSETT

Business Name

KRISTIE M RUSSETT

Original Issue Date

06/29/1987

Expiration Date

12/31/1997

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005