KIM RENEE NELSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004368

License Status

NOT RENEWED

Business

First Name

KIM

Middle

RENEE

Last Name

NELSON

Business Name

KIM RENEE NELSON

Original Issue Date

08/28/2015

Effective Date

01/01/2022

Expiration Date

12/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/28/2024