NICOLE AKI BLOME Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014589

License Status

ACTIVE

Business

First Name

NICOLE

Middle

AKI

Last Name

BLOME

Business Name

NICOLE AKI BLOME

Original Issue Date

10/29/2021

Effective Date

10/18/2025

Expiration Date

12/31/2027

City

REDONDO BEACH

State

Zip

90278

Ever Disciplined

LastModifiedDate

10/18/2025