NICOLE BRIELLE LAVANWAY Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005551

License Status

ACTIVE

Business

First Name

NICOLE

Middle

BRIELLE

Last Name

LAVANWAY

Business Name

NICOLE BRIELLE LAVANWAY

Original Issue Date

03/08/2021

Effective Date

10/03/2025

Expiration Date

12/31/2027

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

10/03/2025