MICHAEL R AVERY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002270

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

AVERY

Business Name

MICHAEL R AVERY

Original Issue Date

01/03/2002

Effective Date

03/02/2004

Expiration Date

12/31/2005

City

PORT WASHINGTON

State

Zip

53074

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/05/2014