KRISTA R BOCK MANGAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004157

License Status

ACTIVE

Business

First Name

KRISTA

Middle

Last Name

BOCK MANGAN

Business Name

KRISTA R BOCK MANGAN

Original Issue Date

09/11/1996

Effective Date

12/09/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60655

Ever Disciplined

LastModifiedDate

12/09/2025