JACQUELINE ROSE GUSTAFSSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004645

License Status

ACTIVE

Business

First Name

JACQUELINE ROSE

Last Name

GUSTAFSSON

Business Name

JACQUELINE ROSE GUSTAFSSON

Original Issue Date

11/12/1997

Effective Date

12/03/2025

Expiration Date

12/31/2027

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025