SUSANNA GONZALEZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001304

License Status

NOT RENEWED

Business

First Name

SUSANNA

Last Name

GONZALEZ

Business Name

SUSANNA GONZALEZ

Original Issue Date

06/08/1996

Expiration Date

12/31/1999

City

MADISON

State

Zip

53704

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005