NICOLE ROSE PETERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004856

License Status

NOT RENEWED

Business

First Name

NICOLE ROSE

Last Name

PETERSON

Business Name

NICOLE ROSE PETERSON

Original Issue Date

05/06/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

MADELIA

State

Zip

56062

County

MINNESOTA

Ever Disciplined

LastModifiedDate

07/28/2005