KIMBERLY KAY PETERSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009667

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

KAY

Last Name

PETERSON

Business Name

KIMBERLY KAY PETERSON

Original Issue Date

02/14/2012

Effective Date

12/17/2025

Expiration Date

12/31/2027

City

METAMORA

State

Zip

61548

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/17/2025