TRACEY MARIE SLY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000729

License Status

NOT RENEWED

Business

First Name

TRACEY MARIE

Last Name

SLY

Business Name

TRACEY MARIE SLY

Original Issue Date

03/09/1991

Effective Date

12/30/2019

Expiration Date

01/31/2022

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/18/2022