The holder whose full name is Niccum, Nicole Leigh,come from Columbia City IN,hold the Occ Therapy Assistant license(NO.32000998A) which status is Expired.
| Name | Niccum, Nicole Leigh |
|---|---|
| License Number | 32000998A |
| License Type | Occ Therapy Assistant |
| License Status | Expired |
| City | Columbia City |
| State | IN |