NICOLE RALSTON BUTLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004437

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RALSTON

Last Name

BUTLER

Business Name

NICOLE RALSTON BUTLER

Original Issue Date

01/11/2016

Effective Date

01/11/2016

Expiration Date

12/31/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

04/10/2018