ANGELLE NICOLE NEWELL Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016004

License Status

ACTIVE

Business

First Name

ANGELLE

Middle

NICOLE

Last Name

NEWELL

Business Name

ANGELLE NICOLE NEWELL

Original Issue Date

04/09/2024

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

12/14/2025