KATHLEEN A LARSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004031

License Status

ACTIVE

Business

First Name

KATHLEEN A

Last Name

LARSON

Business Name

KATHLEEN A LARSON

Original Issue Date

04/03/1996

Effective Date

10/19/2025

Expiration Date

12/31/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/19/2025