INGRID SUSAN NILSSON - Occupational Therapist License in North Carolina | # 056005039

INGRID SUSAN NILSSON

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005039

License Status

INACTIVE

Business

N

First Name

INGRID

Middle

SUSAN

Last Name

NILSSON

Business Name

INGRID SUSAN NILSSON

Original Issue Date

11/04/1998

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

NC

Ever Disciplined

N

LastModifiedDate

10/02/2009