KERRY A NICHOLS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007253

License Status

NOT RENEWED

Business

First Name

KERRY

Middle

Last Name

NICHOLS

Business Name

KERRY A NICHOLS

Original Issue Date

08/20/2004

Effective Date

08/20/2004

Expiration Date

12/31/2005

City

CAMILLUS

State

Zip

13031

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/16/2006