NICOLE DANIELLE HATALLA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004248

License Status

ACTIVE

Business

First Name

NICOLE

Middle

DANIELLE

Last Name

HATALLA

Business Name

NICOLE DANIELLE HATALLA

Original Issue Date

03/30/2015

Effective Date

12/30/2025

Expiration Date

12/31/2027

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

12/30/2025