KIMBERLY ANNE NICHOLS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003469

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANNE

Last Name

NICHOLS

Business Name

KIMBERLY ANNE NICHOLS

Original Issue Date

10/05/2011

Effective Date

12/02/2013

Expiration Date

12/31/2015

City

MADISONVILLE

State

Zip

42431

County

KENTUCKY

Ever Disciplined

LastModifiedDate

02/08/2016