AMANDA ELIZABETH NICOLUSSI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008910

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ELIZABETH

Last Name

NICOLUSSI

Business Name

AMANDA ELIZABETH NICOLUSSI

Original Issue Date

12/30/2009

Effective Date

12/07/2015

Expiration Date

12/31/2017

City

LIVONIA

State

Zip

48154

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/10/2018