NICOLE MARIE D'ANDREA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012648

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

D'ANDREA

Business Name

NICOLE MARIE D'ANDREA

Original Issue Date

09/11/2018

Effective Date

12/13/2019

Expiration Date

01/31/2022

City

GORHAM

State

Zip

04038

Ever Disciplined

LastModifiedDate

05/18/2022