SAMANTHA J SPORLEDER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003711

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SPORLEDER

Business Name

SAMANTHA J SPORLEDER

Original Issue Date

12/14/2012

Effective Date

12/14/2012

Expiration Date

12/31/2013

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/19/2014