Nisa Russell Libbey
ExpiredCalifornia license 24912
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 24912
- Status
- Expired (Delinquent)
- First issued
- April 15, 2023
- Expired
- May 31, 2024
- License holder
- Nisa Russell Libbey
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
9820 Drew Ave S Apt 108
Bloomington, MN 55431-2763
Bloomington, MN 55431-2763
Hennepin County