NICOLE SUSAN BROWN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012481

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

SUSAN

Last Name

BROWN

Business Name

NICOLE SUSAN BROWN

Original Issue Date

03/30/2018

Effective Date

12/28/2021

Expiration Date

12/31/2023

City

FARMINGTON

State

Zip

63640

Ever Disciplined

LastModifiedDate

03/28/2024