NICOLE MARIE CARRICK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003975

License Status

NOT RENEWED

Business

First Name

NICOLE MARIE

Last Name

CARRICK

Business Name

NICOLE MARIE CARRICK

Original Issue Date

03/07/1996

Expiration Date

12/31/1997

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005