KELLY DIANA KOCH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008959

License Status

ACTIVE

Business

First Name

KELLY

Middle

DIANA

Last Name

KOCH

Business Name

KELLY DIANA KOCH

Original Issue Date

03/03/2010

Effective Date

11/15/2025

Expiration Date

12/31/2027

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

11/15/2025