NANCY ELLEN BLOSS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004577

License Status

ACTIVE

Business

First Name

NANCY ELLEN

Last Name

BLOSS

Business Name

NANCY ELLEN BLOSS

Original Issue Date

11/07/1997

Effective Date

11/04/2023

Expiration Date

12/31/2025

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/02/2025