ASHLEY NICHOLE KELLUMS - Occupational Therapist License in Wisconsin | # 056010409

ASHLEY NICHOLE KELLUMS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010409

License Status

NOT RENEWED

Business

N

First Name

ASHLEY

Middle

NICHOLE

Last Name

KELLUMS

Business Name

ASHLEY NICHOLE KELLUMS

Original Issue Date

12/27/2013

Effective Date

12/27/2013

Expiration Date

12/31/2015

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2016