INGRID SUSAN NILSSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005039

License Status

INACTIVE

Business

First Name

INGRID

Middle

SUSAN

Last Name

NILSSON

Business Name

INGRID SUSAN NILSSON

Original Issue Date

11/04/1998

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

INDIAN TRAIL

State

Zip

28079

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/02/2009