KANDIS K NISSEN - Occupational Therapist License in Illinois | # 057001864

KANDIS K NISSEN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001864

License Status

NOT RENEWED

Business

N

First Name

KANDIS

Middle

K

Last Name

NISSEN

Business Name

KANDIS K NISSEN

Original Issue Date

05/12/1999

Effective Date

12/23/2015

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018