NICOLE MARIE WEBB Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005023

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

WEBB

Business Name

NICOLE MARIE WEBB

Original Issue Date

09/10/2018

Effective Date

12/10/2019

Expiration Date

01/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/18/2022