HEATHER NICOLE FISH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010962

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

NICOLE

Last Name

FISH

Business Name

HEATHER NICOLE FISH

Original Issue Date

03/18/2015

Effective Date

11/12/2015

Expiration Date

12/31/2017

City

NEWFIELD

State

Zip

14867

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/10/2018