NICOLE ELLEN KUMLE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004710

License Status

NOT RENEWED

Business

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

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/05/2020