NIKOLE EMBER MASSA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005842

License Status

NOT RENEWED

Business

First Name

NIKOLE

Middle

EMBER

Last Name

MASSA

Business Name

NIKOLE EMBER MASSA

Original Issue Date

07/06/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005