NICOLE THERESE PANEQUE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010290

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

THERESE

Last Name

PANEQUE

Business Name

NICOLE THERESE PANEQUE

Original Issue Date

09/10/2013

Effective Date

12/04/2019

Expiration Date

01/31/2022

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022