NICOLE MARIE ERICKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012024

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

ERICKSON

Business Name

NICOLE MARIE ERICKSON

Original Issue Date

06/30/2017

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

WATERFORD

State

Zip

53185

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2020