NICOLE MARIE VANDER VLIES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008534

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

VANDER VLIES

Business Name

NICOLE MARIE VANDER VLIES

Original Issue Date

11/03/2008

Effective Date

10/14/2009

Expiration Date

12/31/2011

City

GRAND RAPIDS

State

Zip

49508

County

MICHIGAN

Ever Disciplined

LastModifiedDate

02/08/2012