LISA ANN FERCZOK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005535

License Status

ACTIVE

Business

First Name

LISA

Middle

ANN

Last Name

FERCZOK

Business Name

LISA ANN FERCZOK

Original Issue Date

11/05/1999

Effective Date

12/17/2025

Expiration Date

12/31/2027

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

12/17/2025