MARY KATHRYN NISSEN - Occupational Therapist License in Illinois | # 056007166

MARY KATHRYN NISSEN

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007166

License Status

ACTIVE

Business

N

First Name

MARY

Middle

KATHRYN

Last Name

NISSEN

Business Name

MARY KATHRYN NISSEN

Original Issue Date

05/19/2004

Effective Date

12/08/2025

Expiration Date

12/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

12/08/2025