NICOLLE DANIELLE RETZLAFF Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009458

License Status

NOT RENEWED

Business

First Name

NICOLLE

Middle

DANIELLE

Last Name

RETZLAFF

Business Name

NICOLLE DANIELLE RETZLAFF

Original Issue Date

08/22/2011

Effective Date

12/13/2011

Expiration Date

12/31/2013

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/19/2014