SHANE TOD BURGESS - Occupational Therapist License in Illinois | # 057002001

SHANE TOD BURGESS

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002001

License Status

ACTIVE

Business

N

First Name

SHANE

Middle

TOD

Last Name

BURGESS

Business Name

SHANE TOD BURGESS

Original Issue Date

05/18/2000

Effective Date

12/28/2025

Expiration Date

12/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

12/28/2025