License holder summary

Nichols, Tisha D is a Occupational Therapy Assistant licensed to practice in Missouri. The address on file for Nichols, Tisha D is 5203 Lookout Peak Dr , Columbia 65202. This licensed professional license is current. The license was granted 03/23/2012 and expired on 06/30/2015.

Missouri

Division of Professional Registration

Nichols, Tisha D
Occupational Therapy Assistant
License number
2011040057  
Date granted
03/23/2012
Date expires
06/30/2015
Class
Occupational Therapy Assistant
Status
Clear
Address
5203 Lookout Peak Dr 
licensingmissouri.org
ID 5148706
LAST UPDATED 2024-02-23 20:16:40 UTC

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