LUCIANA NICOLE PENN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007445

License Status

ACTIVE

Business

First Name

LUCIANA

Middle

NICOLE

Last Name

PENN

Business Name

LUCIANA NICOLE PENN

Original Issue Date

04/20/2005

Effective Date

12/25/2023

Expiration Date

12/31/2025

City

RIVERDALE

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2025