KIMBERLY CAPULONG - Occupational Therapist License in Illinois | # 056015126

KIMBERLY CAPULONG

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015126

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Last Name

CAPULONG

Business Name

KIMBERLY CAPULONG

Original Issue Date

10/01/2022

Effective Date

11/03/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026