LORI A BASTEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002471

License Status

ACTIVE

Business

First Name

LORI A

Last Name

BASTEN

Business Name

LORI A BASTEN

Original Issue Date

09/18/1990

Effective Date

10/06/2025

Expiration Date

12/31/2027

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/06/2025