ALEXA JEAN MEZERA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003908

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

JEAN

Last Name

MEZERA

Business Name

ALEXA JEAN MEZERA

Original Issue Date

09/11/2013

Effective Date

10/28/2013

Expiration Date

12/31/2015

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016