NINA E SIMONSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004360

License Status

NOT RENEWED

Business

First Name

NINA E

Last Name

SIMONSEN

Business Name

NINA E SIMONSEN

Original Issue Date

04/02/1997

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/28/2005