NICOLE MARIE SLACK - Occupational Therapist License in Michigan | # 056007779

NICOLE MARIE SLACK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007779

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

MARIE

Last Name

SLACK

Business Name

NICOLE MARIE SLACK

Original Issue Date

05/11/2006

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

MI

Ever Disciplined

N

LastModifiedDate

02/04/2010