STEPHANIE LYNN DAKE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001602

License Status

NOT RENEWED

Business

First Name

STEPHANIE LYNN

Last Name

DAKE

Business Name

STEPHANIE LYNN DAKE

Original Issue Date

12/12/1997

Expiration Date

12/31/1999

City

WAUWATOSA

State

Zip

53210

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005