MARY KATHRYN NISSEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007166

License Status

ACTIVE

Business

First Name

MARY

Middle

KATHRYN

Last Name

NISSEN

Business Name

MARY KATHRYN NISSEN

Original Issue Date

05/19/2004

Effective Date

12/08/2025

Expiration Date

12/31/2027

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

12/08/2025