MICHAEL JOHN MIKE JR Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001416

License Status

NOT RENEWED

Business

First Name

MICHAEL JOHN

Last Name

MIKE JR

Business Name

MICHAEL JOHN MIKE JR

Original Issue Date

04/02/1997

Effective Date

01/16/2004

Expiration Date

12/31/2005

City

MILWAUKEE

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/16/2006