SAMANTHA COOPER LANE - Occupational Therapist License in Illinois | # 056013779

SAMANTHA COOPER LANE

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013779

License Status

ACTIVE

Business

N

First Name

SAMANTHA

Last Name

COOPER LANE

Business Name

SAMANTHA COOPER LANE

Original Issue Date

08/04/2020

Effective Date

12/31/2025

Expiration Date

12/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

12/31/2025