NICOLE MARIE SHY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004937

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

SHY

Business Name

NICOLE MARIE SHY

Original Issue Date

07/16/1998

Effective Date

11/21/2011

Expiration Date

12/31/2013

City

SEDALIA

State

Zip

65301

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/19/2014