TRACY A NORTHAM Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002009

License Status

ACTIVE

Business

First Name

TRACY A

Last Name

NORTHAM

Business Name

TRACY A NORTHAM

Original Issue Date

09/03/1988

Effective Date

12/07/2025

Expiration Date

12/31/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

12/07/2025