JENNA PHYLLIS MASS - Occupational Therapist License in Illinois | # 056013510

JENNA PHYLLIS MASS

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013510

License Status

ACTIVE

Business

N

First Name

JENNA

Middle

PHYLLIS

Last Name

MASS

Business Name

JENNA PHYLLIS MASS

Original Issue Date

02/27/2020

Effective Date

12/04/2025

Expiration Date

12/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

12/04/2025