KRISTEN NICOLE ANDERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008748

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

NICOLE

Last Name

ANDERSON

Business Name

KRISTEN NICOLE ANDERSON

Original Issue Date

07/30/2009

Effective Date

11/30/2015

Expiration Date

12/31/2017

City

LAC LA BELLE

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/10/2018