NICOLE ELLEN KUMLE - Occupational Therapist License in Illinois | # 056004710

NICOLE ELLEN KUMLE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004710

License Status

NOT RENEWED

Business

N

First Name

NICOLE ELLEN

Last Name

KUMLE

Business Name

NICOLE ELLEN KUMLE

Original Issue Date

12/15/1997

Effective Date

12/27/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020