NICOLE DENISE WEISENBERGER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006625

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

DENISE

Last Name

WEISENBERGER

Business Name

NICOLE DENISE WEISENBERGER

Original Issue Date

08/14/2002

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005