BROOKE S BACKSEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007942

License Status

ACTIVE

Business

First Name

BROOKE

Middle

Last Name

BACKSEN

Business Name

BROOKE S BACKSEN

Original Issue Date

11/15/2006

Effective Date

12/05/2025

Expiration Date

12/31/2027

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

12/05/2025