NICOLE L PRIEST Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007391

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

PRIEST

Business Name

NICOLE L PRIEST

Original Issue Date

03/09/2005

Effective Date

12/05/2011

Expiration Date

12/31/2013

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/19/2014