NATHALIE JOHNSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005483

License Status

INACTIVE

Business

First Name

NATHALIE

Last Name

JOHNSON

Business Name

NATHALIE JOHNSON

Original Issue Date

09/16/1999

Effective Date

12/19/2001

Expiration Date

12/31/2001

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005