KANDIS K NISSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001864

License Status

NOT RENEWED

Business

First Name

KANDIS

Middle

Last Name

NISSEN

Business Name

KANDIS K NISSEN

Original Issue Date

05/12/1999

Effective Date

12/23/2015

Expiration Date

12/31/2017

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/10/2018