AMANDA MAY NIELSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010921

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MAY

Last Name

NIELSEN

Business Name

AMANDA MAY NIELSEN

Original Issue Date

02/17/2015

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020