ASHLEY NICHOLE KELLUMS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010409

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICHOLE

Last Name

KELLUMS

Business Name

ASHLEY NICHOLE KELLUMS

Original Issue Date

12/27/2013

Effective Date

12/27/2013

Expiration Date

12/31/2015

City

MILWAUKEE

State

Zip

53208

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016