KRISTAN JACKSON GRIESBACH - Occupational Therapist License in Illinois | # 056010441

KRISTAN JACKSON GRIESBACH

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010441

License Status

INACTIVE

Business

N

First Name

KRISTAN

Middle

JACKSON

Last Name

GRIESBACH

Business Name

KRISTAN JACKSON GRIESBACH

Original Issue Date

02/03/2014

Effective Date

10/06/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

12/28/2025