NICOLE M COOPER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003051

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

COOPER

Business Name

NICOLE M COOPER

Original Issue Date

02/06/2009

Effective Date

02/06/2009

Expiration Date

12/31/2009

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/04/2010