MARY EILEEN NELSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008800

License Status

NOT RENEWED

Business

First Name

MARY

Middle

EILEEN

Last Name

NELSON

Business Name

MARY EILEEN NELSON

Original Issue Date

09/11/2009

Effective Date

12/14/2015

Expiration Date

12/31/2017

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/10/2018