MICHAEL J TIERNEY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004198

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

TIERNEY

Business Name

MICHAEL J TIERNEY

Original Issue Date

02/20/2015

Effective Date

02/20/2015

Expiration Date

12/31/2015

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016