NICOLE JEAN JOSE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004830

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

JEAN

Last Name

JOSE

Business Name

NICOLE JEAN JOSE

Original Issue Date

10/04/2017

Effective Date

10/04/2017

Expiration Date

12/31/2019

City

ELK GROVE

State

Zip

95624

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/05/2020