NAKITA CHIMMIEL MAE PORK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005106

License Status

ACTIVE

Business

First Name

NAKITA

Middle

CHIMMIEL MAE

Last Name

PORK

Business Name

NAKITA CHIMMIEL MAE PORK

Original Issue Date

11/12/1998

Effective Date

12/18/2025

Expiration Date

12/31/2027

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2025