MICHELLE ESTHER KELLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001607

License Status

NOT RENEWED

Business

First Name

MICHELLE ESTHER

Last Name

KELLER

Business Name

MICHELLE ESTHER KELLER

Original Issue Date

01/12/1998

Effective Date

11/03/2003

Expiration Date

12/31/2005

City

MADISON

State

Zip

53718

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/16/2006