TAKAKO NISHIYAMA - Occupational Therapist License in Missouri | # 056004852

TAKAKO NISHIYAMA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004852

License Status

NOT RENEWED

Business

N

First Name

TAKAKO

Last Name

NISHIYAMA

Business Name

TAKAKO NISHIYAMA

Original Issue Date

05/06/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

State

MO

Ever Disciplined

N

LastModifiedDate

07/28/2005