NICOLE R GREEN - Occupational Therapist License in Iowa | # 057001604

NICOLE R GREEN

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001604

License Status

INACTIVE

Business

N

First Name

NICOLE R

Last Name

GREEN

Business Name

NICOLE R GREEN

Original Issue Date

12/29/1997

Effective Date

12/01/2003

Expiration Date

12/31/2005

State

IA

Ever Disciplined

N

LastModifiedDate

10/25/2005