KEVIN NEAL STORK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005709

License Status

ACTIVE

Business

First Name

KEVIN

Middle

NEAL

Last Name

STORK

Business Name

KEVIN NEAL STORK

Original Issue Date

05/16/2000

Effective Date

12/08/2025

Expiration Date

12/31/2027

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

12/08/2025