KENNEDY NICOLE FABIAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005857

License Status

ACTIVE

Business

First Name

KENNEDY

Middle

NICOLE

Last Name

FABIAN

Business Name

KENNEDY NICOLE FABIAN

Original Issue Date

08/22/2022

Effective Date

12/30/2025

Expiration Date

12/31/2027

City

LA CROSSE

State

Zip

54601

Ever Disciplined

LastModifiedDate

12/30/2025