NICOLE E BOYINGTON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006758

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BOYINGTON

Business Name

NICOLE E BOYINGTON

Original Issue Date

01/09/2003

Effective Date

11/12/2013

Expiration Date

12/31/2015

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016