KATRINA NICHELE SMITH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008816

License Status

INACTIVE

Business

First Name

KATRINA

Middle

NICHELE

Last Name

SMITH

Business Name

KATRINA NICHELE SMITH

Original Issue Date

09/30/2009

Effective Date

11/12/2019

Expiration Date

12/31/2021

City

MADISON

State

Zip

35758

Ever Disciplined

LastModifiedDate

12/23/2021