THERESA NICCUM Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146000203

License Status

NOT RENEWED

Business

First Name

THERESA

Last Name

NICCUM

Business Name

THERESA NICCUM

Original Issue Date

04/09/1989

Effective Date

09/19/2023

Expiration Date

10/31/2025

City

FISHERS

State

Zip

46038

Ever Disciplined

LastModifiedDate

02/04/2026