MINI ANTONY NEDUMGOTTIL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005775

License Status

ACTIVE

Business

First Name

MINI

Middle

ANTONY

Last Name

NEDUMGOTTIL

Business Name

MINI ANTONY NEDUMGOTTIL

Original Issue Date

05/18/2000

Effective Date

10/13/2025

Expiration Date

12/31/2027

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/13/2025