PAMELA MICHELLE NIEDZWIECKI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012363

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

MICHELLE

Last Name

NIEDZWIECKI

Business Name

PAMELA MICHELLE NIEDZWIECKI

Original Issue Date

01/31/2018

Effective Date

01/06/2020

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60647

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/18/2022