MICHAEL B NORDSTROM Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010565

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

NORDSTROM

Business Name

MICHAEL B NORDSTROM

Original Issue Date

04/22/2014

Effective Date

10/16/2025

Expiration Date

12/31/2027

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/16/2025