NOELLE MARIE MITTLESTEADT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003408

License Status

NOT RENEWED

Business

First Name

NOELLE

Middle

MARIE

Last Name

MITTLESTEADT

Business Name

NOELLE MARIE MITTLESTEADT

Original Issue Date

06/29/2011

Effective Date

12/31/2013

Expiration Date

12/31/2015

City

WYOCENA

State

Zip

53969

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016