ANN MARIE NITZBAND Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006532

License Status

NOT RENEWED

Business

First Name

ANN

Middle

MARIE

Last Name

NITZBAND

Business Name

ANN MARIE NITZBAND

Original Issue Date

04/10/2002

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

09/11/2005