NICOLE M COOPER - Occupational Therapist License in Wisconsin | # 057003051

NICOLE M COOPER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003051

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

M

Last Name

COOPER

Business Name

NICOLE M COOPER

Original Issue Date

02/06/2009

Effective Date

02/06/2009

Expiration Date

12/31/2009

State

WI

Ever Disciplined

N

LastModifiedDate

02/04/2010