NICOLE MARIE BARTNIK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005161

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

BARTNIK

Business Name

NICOLE MARIE BARTNIK

Original Issue Date

11/12/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

NEW BERLIN

State

Zip

53151

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005