NIVEA LANESE GORDON - Occupational Therapist License in Illinois | # 056010873

NIVEA LANESE GORDON

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010873

License Status

ACTIVE

Business

N

First Name

NIVEA

Middle

LANESE

Last Name

GORDON

Business Name

NIVEA LANESE GORDON

Original Issue Date

01/07/2015

Effective Date

10/02/2025

Expiration Date

12/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

12/21/2025