LATESS ASHLEY NIKKI ECHAVARRIA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012302

License Status

NOT RENEWED

Business

First Name

LATESS

Middle

ASHLEY NIKKI

Last Name

ECHAVARRIA

Business Name

LATESS ASHLEY NIKKI ECHAVARRIA

Original Issue Date

12/08/2017

Effective Date

12/08/2017

Expiration Date

12/31/2019

City

FENNVILLE

State

Zip

49408

County

MICHIGAN

Ever Disciplined

LastModifiedDate

03/05/2020