NANCELLA GAYLE ROEGLIN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002385

License Status

INACTIVE

Business

First Name

NANCELLA

Middle

GAYLE

Last Name

ROEGLIN

Business Name

NANCELLA GAYLE ROEGLIN

Original Issue Date

11/13/2002

Effective Date

02/03/2004

Expiration Date

12/31/2003

City

MILWAUKEE

State

Zip

53209

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005