NICOLE L BRANSTITER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006914

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BRANSTITER

Business Name

NICOLE L BRANSTITER

Original Issue Date

07/14/2003

Effective Date

12/17/2023

Expiration Date

12/31/2025

City

PHOENIX

State

Zip

85024

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/02/2025