DELORIS J NICHOLS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001164

License Status

INACTIVE

Business

First Name

DELORIS J

Last Name

NICHOLS

Business Name

DELORIS J NICHOLS

Original Issue Date

08/30/1995

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

BARDWELL

State

Zip

42023

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/10/2007