GWENDOLYN J FRITZ Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001130

License Status

INACTIVE

Business

First Name

GWENDOLYN J

Last Name

FRITZ

Business Name

GWENDOLYN J FRITZ

Original Issue Date

03/17/1995

Effective Date

12/08/2003

Expiration Date

12/31/2005

City

GREENFIELD

State

Zip

53220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/25/2005