SANDRA J FORTMANN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001369

License Status

ACTIVE

Business

First Name

SANDRA J

Last Name

FORTMANN

Business Name

SANDRA J FORTMANN

Original Issue Date

10/08/1985

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2025