GREGORY MARTIN BRACKER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002420

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

MARTIN

Last Name

BRACKER

Business Name

GREGORY MARTIN BRACKER

Original Issue Date

05/15/2003

Effective Date

01/09/2004

Expiration Date

12/31/2005

City

WAUKESHA

State

Zip

53188

Ever Disciplined

LastModifiedDate

02/16/2006